Behavioral Health Consultants, LLC.
3018 Dixwell Avenue
Hamden, CT 06518
Toll Free:
1-800-864-2742
Local:
(203) 288-3554
Fax:
(203) 281-0235
ANXIETY QUESTIONNAIRE
Please answer True (T) of False (F) to the following questions based on whether your daily activities have been substantially affected by these feelings over the past month.
Feeling nervousness or shakiness inside. |
|
F |
| Becoming suddenly scared or anxious without any apparent reason |
|
F |
Feeling increased arousal or tension in your body for no apparent reason. |
|
F |
Inability to let yourself relax |
|
F |
Being easily startled |
|
F |
Losing your temper in frustrating situations |
|
F |
Difficulty letting go of intrusive thoughts |
|
F |
| Difficulty falling asleep or early morning awakening |
|
F |
| Feeling anxious when alone |
|
F |
| Avoiding certain circumstances, places or events due to anxiety or discomfort. |
|
F |
If you answered True (T) to 6 or more of the above questions, then you may be experiencing some form of an anxiety disorder and should consider consulting your EAP or local mental health professional for further evaluation and possible treatment.