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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |
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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) |