"*" indicates required fields Name* Age*Weight (kg/lb)*Please enter recent measurement Weight unit (kg/lb)*kg or lbkglbHeight (cm/ft)*Please enter recent measurement Height unit (cm/ft)*cm or ftcmftGender* Female Male Please read each statement and select an option, which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.1. I found it hard to wind down* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 2. I was aware of dryness of my mouth* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 3. I couldn’t seem to experience any positive feeling at all* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 4. I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion)* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 5. I found it difficult to work up the initiative to do things* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 6. I tended to over-react to situations* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 7. I experienced trembling (e.g. in the hands)* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 8. I felt that I was using a lot of nervous energy* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 9. I was worried about situations in which I might panic and make a fool of myself* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 10.I felt that I had nothing to look forward to* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 11.I found myself getting agitated* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 12. I found it difficult to relax* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 13. I felt down-hearted and blue* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 14. I was intolerant of anything that kept me from getting on with what I was doing* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 15. I felt I was close to panic* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 16. I was unable to become enthusiastic about anything* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 17. I felt I wasn’t worth much as a person* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 18. I felt that I was rather touchy* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 19. I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat)* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 20. I felt scared without any good reason* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time 21. I felt that life was meaningless* Did not apply to me at all Applied to me to some degree, or some of the time Applied to me to a considerable degree or a good part of time Applied to me very much or most of the time HiddenAnxiety ResultHiddenDepression ResultHiddenStress ResultEmail* Phone numberCommentPlease check me Δ