BAI

 

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:

 

  • Not at all
  • Mildly, but it didn’t bother me much
  • Moderately – it wasn’t pleasant at times
  • Severely – it bothered me a lot

 

Name
1. Numbness or tingling

2. Feeling hot

3. Wobbliness in legs

4. Unable to relax

5. Fear of worst happening

6. Dizzy or lightheaded

7. Heart pounding / racing

8. Unsteady

9. Terrified or afraid

10. Nervous

11. Feeling of choking

12. Hands trembling

13. Shaky / unsteady

14. Fear of losing control

15. Difficulty in breathing

16. Fear of dying

17. Scared

18. Indigestion

19. Faint / lightheaded

20. Face flushed

21. Hot / cold sweats