Anxiety Check

Check the column that best corresponds to how you have felt during the past two weeks. None or a little of the time Some of the time Good part of the time Most or all of the time
1. I feel more nervous and anxious than usual
2. I feel afraid for no reason at all
3. I get upset easily or feel panicky
4. I feel like I ’ m falling apart and going to pieces
5. I feel that everything is all right and nothing bad will happen
6. My arms and legs shake and tremble
7. I am bothered by headaches, neck, and back pains
8. I feel weak and get tired easily
9. I feel calm and can sit still easily
10. I can feel my heart beating fast
11. I am bothered by dizzy spells
12. I have fainting spells or feel faint
13. I can breath in and out easily
14. I get feelings of numbness and tingling in my fingers and toes
15. I am bothered by stomachaches or indigestion
16. I have to empty my bladder often
17. My hands are usually dry and warm
18. My face gets hot and blushes
19. I fall asleep easily and get a good night ’ s rest
20. I have nightmares
The Zung Anxiety Screen

21. Age:

22. Sex:
Male Female

23. Race: 24. County of residence:

25. Zip Code

26. Income:

         

This screening is for educational and informational purposes only. All information on this site is confidential. This is not a substitute for a diagnosis for mental illness. A diagnosis for mental illness can only be made by a clinical evaluation from a healthcare professional.

  • The screening questionnaire on the Guide to Feeling Better website is solely for the purpose of identifying symptoms.
  • Guide to Feeling Better is not responsible for clinical diagnosis or treatment procedures of any individuals listed on the Guide to Feeling Better resource page.
  • These nationally accepted and reliable research-based questionnaires will help you determine if further follow-up with your doctor is necessary. They are not meant to take the place of a professional evaluation.