Tests

Beck Anxiety Inventory

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the corresponding space in the column next to each symptom.
Name*
First Last
Email
Phone
0 – Not At All
1 – Mildly but it didn’t bother me much.
2 – Moderately – it wasn’t pleasant at times
3 – Severely – it bothered me a lot
Numbness or tingling*
- Not At All
- Mildly
- Moderately
- Severely
Feeling hot*
- Not At All
- Mildly
- Moderately
- Severely
Wobbliness in legs*
- Not At All
- Mildly
- Moderately
- Severely
Unable to relax*
- Not At All
- Mildly
- Moderately
- Severely
Fear of worst happening*
- Not At All
- Mildly
- Moderately
- Severely
Dizzy or lightheaded*
- Not At All
- Mildly
- Moderately
- Severely
Heart pounding or racing*
- Not At All
- Mildly
- Moderately
- Severely
Unsteady*
- Not At All
- Mildly
- Moderately
- Severely
Terrified or afraid*
- Not At All
- Mildly
- Moderately
- Severely
Nervous*
- Not At All
- Mildly
- Moderately
- Severely
Feeling of choking*
- Not At All
- Mildly
- Moderately
- Severely
Hands trembling*
- Not At All
- Mildly
- Moderately
- Severely
Shaky or unsteady*
- Not At All
- Mildly
- Moderately
- Severely
Fear of losing control*
- Not At All
- Mildly
- Moderately
- Severely
Difficulty in breathing*
- Not At All
- Mildly
- Moderately
- Severely
Fear of dying*
- Not At All
- Mildly
- Moderately
- Severely
Scared*
- Not At All
- Mildly
- Moderately
- Severely
Indigestion*
- Not At All
- Mildly
- Moderately
- Severely
Faint or lightheaded*
- Not At All
- Mildly
- Moderately
- Severely
Face flushed*
- Not At All
- Mildly
- Moderately
- Severely
Email
This field is for validation purposes and should be left unchanged.

The Burns Anxiety Inventory

The following is a list of symptoms that people sometimes have. Put a check in the space to the right that best describes how much that symptom or problem has bothered you during the past week.
Name*
First Last
Email
Phone
0 – Not At All
1 – Somewhat
2 – Moderately
3 – A Lot
Anxiety, nervousness, worry, or fear.*
- Not At All
- Somewhat
- Moderately
- A Lot
Feeling that things around you are strange, unreal or foggy.*
- Not At All
- Somewhat
- Moderately
- A Lot
Feeling detached from all or part of your body.*
- Not At All
- Somewhat
- Moderately
- A Lot
Sudden unexpected panic spells.*
- Not At All
- Somewhat
- Moderately
- A Lot
Apprehension or a sense of impending doom.*
- Not At All
- Somewhat
- Moderately
- A Lot
Feeling tense, stressed, “uptight”, or on edge.*
- Not At All
- Somewhat
- Moderately
- A Lot
Difficulty concentrating.*
- Not At All
- Somewhat
- Moderately
- A Lot
Racing thoughts or having your mind jump from one thing to the next.*
- Not At All
- Somewhat
- Moderately
- A Lot
Frightening fantasies or daydreams.*
- Not At All
- Somewhat
- Moderately
- A Lot
Feeling that you're on the verge of losing control.*
- Not At All
- Somewhat
- Moderately
- A Lot
Fears of cracking up or going crazy.*
- Not At All
- Somewhat
- Moderately
- A Lot
Fears of fainting or passing out.*
- Not At All
- Somewhat
- Moderately
- A Lot
Fears of physical illnesses or heart attacks or dying.*
- Not At All
- Somewhat
- Moderately
- A Lot
Concerns about looking foolish or inadequate in front of others*
- Not At All
- Somewhat
- Moderately
- A Lot
Fears of being alone, isolated, or abandoned.*
- Not At All
- Somewhat
- Moderately
- A Lot
Fears of criticism or disapproval.*
- Not At All
- Somewhat
- Moderately
- A Lot
Fears that something terrible is about to happen.*
- Not At All
- Somewhat
- Moderately
- A Lot
Skipping or racing or pounding of the heart (sometimes called “palpitations”)*
- Not At All
- Somewhat
- Moderately
- A Lot
Pain, pressure, or tightness in the chest.*
- Not At All
- Somewhat
- Moderately
- A Lot
Tingling or numbness in the toes or fingers.*
- Not At All
- Somewhat
- Moderately
- A Lot
Butterflies or discomfort in the stomach.*
- Not At All
- Somewhat
- Moderately
- A Lot
Constipation or diarrhea.*
- Not At All
- Somewhat
- Moderately
- A Lot
Restlessness or jumpiness.*
- Not At All
- Somewhat
- Moderately
- A Lot
Tight, tense muscles.*
- Not At All
- Somewhat
- Moderately
- A Lot
Sweating not brought on by heat.*
- Not At All
- Somewhat
- Moderately
- A Lot
A lump in the throat.*
- Not At All
- Somewhat
- Moderately
- A Lot
Trembling or shaking.*
- Not At All
- Somewhat
- Moderately
- A Lot
Rubbery or “jelly” legs.*
- Not At All
- Somewhat
- Moderately
- A Lot
Feeling dizzy, light-headed, or off balance.*
- Not At All
- Somewhat
- Moderately
- A Lot
Choking or smothering sensations or difficulty breathing.*
- Not At All
- Somewhat
- Moderately
- A Lot
Headaches or pains in the neck or back.*
- Not At All
- Somewhat
- Moderately
- A Lot
Hot flashes or cold chills.*
- Not At All
- Somewhat
- Moderately
- A Lot
Feeling tired, weak, or easily exhausted.*
- Not At All
- Somewhat
- Moderately
- A Lot
Phone
This field is for validation purposes and should be left unchanged.