BAI

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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, by circling the number in the corresponding space in the column next to each symptom.
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)
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)