QUICK Anxiety Test

Welcome to your QUICK Anxiety Test

Below is a list of common symptoms of anxiety. Please carefully read each
item in the list. Indicate how much you have been bothered by that
symptom during the past month, including today, by circling the number in
the corresponding space in the column next to each symptom.

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Name
Country/ State
1. Numbness or tingling


2. Feeling hot
3. Wobbliness in legs
4. Unable to relax
5. Fear of worst happening.
6. Dizzy or lightheaded.
7. Heart pounding/racing.
8. Unsteady.
9. Terrified or afraid.
10. Nervous.
11. Feeling of choking.
12. Hands trembling.
13. Shaky / unsteady.
14. Fear of losing control.
15. Difficulty in breathing.
16. Fear of dying.
17. Scared.
18. Indigestion.
19. Faint / lightheaded.
20. Face flushed.
21. Hot/cold sweats.