1 – Almost never
2 – Occasionally
3 – Often
4 – Almost always
¹
1
2
3
4
1
In general...
My heart beats fast.
2
My muscles are tense.
3
I feel agonised over my problems.
4
I think that others won't approve of me.
5
I feel like I'm missing out on things because I can't make up my mind soon enough.
6
I feel dizzy.
7
My muscles feel weak.
8
I feel trembly and shaky.
9
I picture some future misfortune.
10
I can't get some thought out of my mind.
11
I have trouble remembering things.
12
My face feels hot.
13
I think that the worst will happen.
14
My arms and legs feel stiff.
15
My throat feels dry.
16
I keep busy to avoid uncomfortable thoughts.
17
I cannot concentrate without irrelevant thoughts intruding.
18
My breathing is fast and shallow.
19
I worry that I cannot control my thoughts as well as I would like to.
20
I have butterflies in the stomach.
21
My palms feel clammy.
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.