Anxiety Screeening

Check the column that best corresponds to how you have felt during the past two weeks.	None or a little of the time	Some of the time	Good part of the time	Most or all of the time
1. I feel more nervous and anxious than usual
2. I feel afraid for no reason at all
3. I get upset easily or feel panicky
4. I feel like I’m falling apart and going to pieces
5. I feel that everything is all right and nothing bad will happen
6. My arms and legs shake and tremble
7. I am bothered by headaches, neck, and back pains
8. I feel weak and get tired easily
9. I feel calm and can sit still easily
10. I can feel my heart beating fast
11. I am bothered by dizzy spells
12. I have fainting spells or feel faint
13. I can breath in and out easily
14. I get feelings of numbness and tingling in my fingers and toes
15. I am bothered by stomachaches or indigestion
16. I have to empty my bladder often
17. My hands are usually dry and warm
18. My face gets hot and blushes
19. I fall asleep easily and get a good night’s rest
20. I have nightmares

The Zung Anxiety Screen

21. Age:	22. Sex: Male Female
23. Race:	24. County of residence:
25. Zip Code	26. Income:

This screening is for educational and informational purposes only. All information on this site is confidential. This is not a substitute for a diagnosis for mental illness. A diagnosis for mental illness can only be made by a clinical evaluation from a healthcare professional.

The screening questionnaire on the Guide to Feeling Better website is solely for the purpose of identifying symptoms.
Guide to Feeling Better is not responsible for clinical diagnosis or treatment procedures of any individuals listed on the Guide to Feeling Better resource page.