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.
Scoring Instructions: Please rate how much you have been bothered by each symptom during the past month. Your answers will be summed to provide a total score indicating your anxiety level.
A 0 = Not at all,
B 1 = Mildly, But it didn't bother me much,
C 2 = Moderately, it wasn't pleasant at times,
D 3 - Severely, it bothered me a lot.