Anxiety screening

Anxiety affects your emotional and physical health. Complete the anxiety screening tool to measure the effects of anxiety on your health.

Select the choice that best describes how you've been feeling the last week. Please note: this tool is not intended to diagnose anxiety or any other disorder and is designed for initial screening only.

Worried, anxious or afraid?	Not at all Somewhat Moderately A lot
Tense, restless, unable to relax?	Not at all Somewhat Moderately A lot
Shortness of breath?	Not at all Somewhat Moderately A lot
A rapid heartbeat, chest pressure or pain?	Not at all Somewhat Moderately A lot
Dizzy or light headed.	Not at all Somewhat Moderately A lot
Shaking or passing out.	Not at all Somewhat Moderately A lot
Numbness or tingling in your hands or feet.	Not at all Somewhat Moderately A lot
Sudden unexpected panic	Not at all Somewhat Moderately A lot
Racing thoughts.	Not at all Somewhat Moderately A lot
Fear of going crazy, losing control of emotions.	Not at all Somewhat Moderately A lot
Fear of a heart attack or stroke.	Not at all Somewhat Moderately A lot
Feeling tired, exhausted.	Not at all Somewhat Moderately A lot