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Anxiety Screening
Over the last 2 weeks, how often have you been bothered by the following problems?
Feeling nervous, anxious or on edge
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
Not being able to stop or control worrying
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
Worrying too much about different things
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
Trouble relaxing
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
Being so restless that it is hard to sit still
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
Becoming easily annoyed or irritable
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
Feeling afraid as if something awful might happen
*
Not at All
Several Days
More that Half the Days
Nearly Every Day
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