Anxiety Screening

Over the last 2 weeks, how often have you been bothered by any of the following?
Please note, all fields are required for this screen.
1. Feeling nervous, anxious, or on edge*
Not at all Several days More than half the days Nearly every day
2. Unable to stop or control worrying*
Not at all Several days More than half the days Nearly every day
3. Worrying too much about different things*
Not at all Several days More than half the days Nearly every day
4. Trouble relaxing*
Not at all Several days More than half the days Nearly every day
5. Being so restless that it is hard to sit still*
Not at all Several days More than half the days Nearly every day
6. Becoming easily annoyed or irritable*
Not at all Several days More than half the days Nearly every day
7. Feeling afraid, as if something awful might happen*
Not at all Several days More than half the days Nearly every day
Name
This field is for validation purposes and should be left unchanged.

Disclaimer
Please note: Our screens are only for adults. By submitting your responses here, you acknowledge that the screen is not a diagnostic instrument and is only to be used by you if you are 18 years or older. You are encouraged to share your results with a physician or healthcare provider. 365 Health sponsors, partners, and advertisers disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of these screens. All information is anonymous and confidential.

Anxiety Screening

Over the last 2 weeks, how often have you been bothered by any of the following?