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About Us
Important Things To Know
Our Clinical Team
Our Support Team
Mission Vision Values
Our Environment
Careers
Assessments
Adults
Children
Teens
Psychotherapy
Adults
Teens
Children
Workshops
New Clients
Our Promise to You
Quick 1st Appointment
Our Clinical Approach
What to Expect
Virtual Services
Fees + Coverage
FAQs
Resources
Videos
Articles
Infographics
Questionnaire
Contact
Anxiety Questionnaire
Answer each question, then click submit to see your results.
Adult Anxiety Mini-Questionnaire
Difficulty relaxing
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Feeling on edge
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Intrusive thoughts that don’t go away
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Ruminative worries about things that may/may not be realistic
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Difficulty controlling your anxiety/worry
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Feeling restless or tense
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Feeling like you are losing control of things in your life
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Difficulty breathing
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Feeling shaky, dizzy, or unsteady
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Sweating more than usual
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Heart palpitations and/or increased heart rate
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Nausea or stomach aches unrelated to a known physical health issue
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Tension headaches or migraines unrelated to a known physical health issue
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Avoiding situations that cause anxiety/panic
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Worrying about everything, even little stressors
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Panic attacks – sudden and intense emotional and physical anxiety reaction (e.g., suddenly shaking, nauseous, sweating, dizzy, feeling as if you are having a heart attack or dying)
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Persistent, lasting thought or impulse that you need to repeat over and over, which causes you distress if you do not follow through
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Repetitive behaviours done to control anxious worries that interfere with normal routines and daily functioning (e.g., counting, checking, washing hands/cleaning, continuously challenging intrusive thoughts, or maintaining a rigid schedule of activities)
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Fear of being embarrassed in public
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Worried about being judged by others
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Avoiding leaving the house or feeling anxious when doing so
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Avoiding specific people, places, and/or things that cause you anxiety (e.g., crowds, heights, dogs, needles, etc.)
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
Worried that something bad will happen to those you love
*
Not at all / Never
A little bit / Slightly
Somewhat / Moderate
Quite a bit / Often
Extremely
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