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ગુજરાતી
Anxiety Test
1
2
Instruction:
1.
Please attempt all statements
2.
Read each statement and select one option which indicates how the statement applied to
over the past week.
There are no right or wrong answers.
Your test is totally confidential.
Q1. I feel more nervous and anxious than usual
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q2. I feel afraid for no reason at all
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q3. I get upset easily or feel panicky
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q4. I feel like I’m falling apart and going to pieces
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q5. I feel that everything is all right and nothing bad will happen
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q6. My arms and legs shake and tremble
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q7. I am bothered by headaches, neck and back pains
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q8. I feel weak and get tired easily
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q9. I feel calm and and can sit still easily
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q10. I can feel my heart beating fast
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q11. I am bothered by dizzy spells
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q12. I have fainting spells or feel faint
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q13. I can breath in and out easily
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q14. I get feelings of numbness and tingling in my fingers and toes
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q15. I am bothered by stomachaches or indigestion
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q16. I have to empty my bladder often
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q17. My hands are usually dry and warm
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q18. My face gets hot and blushes
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q19. I fall asleep easily and get a good night’s rest
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q20. I have nightmares
None or a little of the time
Some of the time
Good part of the time
Most or all of the time
Q1 is empty.
Q2 is empty.
Q3 is empty.
Q4 is empty.
Q5 is empty.
Q6 is empty.
Q7 is empty.
Q8 is empty.
Q9 is empty.
Q10 is empty.
Q11 is empty.
Q12 is empty.
Q13 is empty.
Q14 is empty.
Q15 is empty.
Q16 is empty.
Q17 is empty.
Q18 is empty.
Q19 is empty.
Q20 is empty.