Not at all | Several days | More than half the days | Nearly every day | |
Over the last 2 weeks, how often have you been bothered by the following problems? | ||||
1. Feeling nervous, anxious, or on edge | 0 | 1 | 2 | 3 |
2. Not being able to stop or control worrying | 0 | 1 | 2 | 3 |
3. Worrying too much about different things | 0 | 1 | 2 | 3 |
4. Trouble relaxing | 0 | 1 | 2 | 3 |
5. Being so restless that it is hard to sit still | 0 | 1 | 2 | 3 |
6. Becoming easily annoyed or irritable | 0 | 1 | 2 | 3 |
7. Feeling afraid as if something awful might happen | 0 | 1 | 2 | 3 |
Total score*¶ _____ = | Add Columns | _____ + | _____ + | _____ |
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? | ||||
Circle one | Not difficult at all | Somewhat difficult | Very difficult | Extremely difficult |
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