Anxiety Self Assessment Quiz

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Welcome to the Hera Therapy Anxiety Self Assessment Quiz

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the corresponding space in the column next to each symptom.

Numbness or tingling

Feeling hot

Wobbliness in legs

Unable to relax

Fear of the worst happening

Dizzy or lightheaded

Heart pounding / racing

Unsteady

Terrified or afraid

Nervous

Feeling of choking

Hands trembling

Shaky / unsteady

Fear of losing control

Difficulty in breathing

Fear of dying

Scared

Indigestion

Faint / lightheaded

Face flushed

Hot / cold sweats

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