Anxiety Questionnaire

Answer each question, then click submit to see your results.

Adult Anxiety Mini-Questionnaire
Difficulty relaxing
Feeling on edge
Intrusive thoughts that don’t go away
Ruminative worries about things that may/may not be realistic
Difficulty controlling your anxiety/worry
Feeling restless or tense
Feeling like you are losing control of things in your life
Difficulty breathing
Feeling shaky, dizzy, or unsteady
Sweating more than usual
Heart palpitations and/or increased heart rate
Nausea or stomach aches unrelated to a known physical health issue
Tension headaches or migraines unrelated to a known physical health issue
Avoiding situations that cause anxiety/panic
Worrying about everything, even little stressors
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)
Persistent, lasting thought or impulse that you need to repeat over and over, which causes you distress if you do not follow through
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)
Fear of being embarrassed in public
Worried about being judged by others
Avoiding leaving the house or feeling anxious when doing so
Avoiding specific people, places, and/or things that cause you anxiety (e.g., crowds, heights, dogs, needles, etc.)
Worried that something bad will happen to those you love
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