| Numbness or tingling | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Feeling hot | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Wobbliness in legs | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Unable to relax | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Fear of worst happening | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Dizzy or lightheaded | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Heart pounding / racing | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Unsteady | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Terrified or afraid | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Nervous | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Feeling of choking | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Hands trembling | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Shaky / unsteady | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Fear of losing control | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Difficulty in breathing | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Fear of dying | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Scared | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Indigestion | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Faint / lightheaded | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Face flushed | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
|---|
| Hot / cold sweats | Not at all (0) | Mildly, but it didn’t bother me much (1) | Moderately – it wasn’t pleasant at times (2) | Severely – it bothered me a lot (3) |
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