Anxiety test

This is a questionnaire developed through research; these nine simple questions have been proven to separate people who have some anxiety from those with an anxiety disorder.

Answer these questions honestly. We do not collect personal information here. Please note that nobody, including Basten and Associates, will see you responses – the results are for your eyes only. If you are worried about your mood or feel like you might need help, speak to your doctor or call this practice in business hours. If you need help with your mood or safety immediately, then contact someone to help you and get to your local Emergency Department.

I have experienced shortness of breath with no clear reason (no exercise or medical problem)

 
 
 
 
 

I have found myself shaking or trembling for no clear reason

 
 
 
 
 

I get an ominous sense that something dreadful is going to happen even though I’m not sure what it is

 
 
 
 
 

I avoid situations and activities that could make me anxious because I feel that my anxiety could get out of control

 
 
 
 
 

I have been experiencing a dry mouth (with no medical issue or medication causing this)

 
 
 
 
 

I worry so much that I think there is something wrong with me

 
 
 
 
 

I tend to have private rituals or routines that help me to feel safer from something harmful happening

 
 
 
 
 

I tend to panic in situations where others don’t get as anxious as me

 
 
 
 
 

There are places that I’d like to go or activities to do that I miss out on because I doubt myself and get scared