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Please read each statement and circle a number 0, 1, 2 or 3 which indicates how The
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1 |
I found myself getting upset by quite trivial things |
3 |
S |
|
2 |
I was aware of dryness of my mouth |
3 |
A |
|
3 |
I couldn’t seem to experience any positive feeling at all |
2 |
D |
|
4 |
I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion) |
2 |
A
|
|
5 |
I just couldn’t seem to get going |
3 |
D |
|
6 |
I tended to over-react to situations |
3 |
S |
|
7 |
I had a feeling of shakiness (eg, legs going to give way) |
1 |
A |
|
8 |
I found it difficult to relax |
3 |
S |
|
9 |
I found myself in situations that made me so anxious I was most relieved when they ended |
3 |
A
|
|
10 |
I felt that I had nothing to look forward to |
2 |
D |
|
11 |
I found myself getting upset rather easily |
3 |
S |
|
12 |
I felt that I was using a lot of nervous energy |
2 |
S |
|
13 |
I felt sad and depressed |
3 |
D |
|
14 |
I found myself getting impatient when I was delayed in any way
|
1 |
S
|
|
15 |
I had afeeling of faintness |
1 |
A |
|
16 |
I felt that I had lost interest in just about everything |
2 |
D |
|
17 |
I felt I wasn’t worth much as a person |
3 |
D |
|
18 |
I felt |
3 |
S |
|
19 |
I perspired noticeably in the absence of high temperatures or physical exertion |
0 |
A
|
|
20 |
I felt scared without any good reason |
2 |
A |
|
21 |
I felt that life wasn’t worthwhile |
3 |
D |
|
22 |
I found it hard to wind down |
3 |
S |
|
23 |
I had |
1 |
A |
|
24 |
I couldn’t seem to get any enjoyment out of the things I did |
2 |
D |
|
25 |
I was aware of the action of my heart in the absence of physical exertion |
3 |
A
|
|
26 |
I felt down-hearted and blue |
3 |
D |
|
27 |
I found that I was very irritable |
3 |
S |
|
28 |
I felt I was close to panic |
3 |
A |
|
29 |
I found it hard to calm down after something upset me |
3 |
S |
|
30 |
I feared that I would be “thrown” by some trivial but unfamiliar task |
3 |
A
|
|
31 |
I was unable to become enthusiastic about anything |
2 |
D |
|
32 |
I found it difficult to tolerate interruptions to what I was doing |
2 |
S |
|
33 |
I was in a state of nervous tension |
3 |
S |
|
34 |
I felt I was pretty worthless |
3 |
D |
|
35 |
I was intolerant of anything that kept me from getting on with what I was doing |
1 |
S
|
|
36 |
I felt terrified |
2 |
A |
|
37 |
I could see nothing in the future to be hopeful about |
2 |
D |
|
38 |
I felt that life was meaningless |
3 |
D |
|
39 |
I found myself getting agitated |
2 |
S |
|
40 |
I was worried about situations in which I might panic and make a fool of myself |
1 |
A
|
|
41 |
I experienced trembling (eg, in the hands) |
2 |
A |
|
42 |
I found it difficult to work up the initiative to do things |
3 |
D |
|
TOTAL SCORE |
99 |
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DEPRESSION SCORE |
36 |
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|
ANXIETY SCORE |
27 |
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|
STRESS SCORE |
36 |
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