(415) 668-3904

Anxiety Disorder Symptoms Assessment

Please take this opportunity to use the assessment tool below to help you see if your worries and discomforts are actually anxiety disorder.

Rate the following criteria on a scale of 0-4 with 0 being "no symptom present" to 4 being "severe symptom"

Do you:

	Worry excessively
	Anticipate the worst
	Startle easily
	Cry easily
	Feel restless
	Tremble
	Fear the dark
	Fear strangers
	Fear being alone
	Fear animals
	Fear elevators, bridges, tunnels
	Have difficulty falling asleep or staying asleep
	Have frequent nightmares
	Have poor concentration
	Have memory impairment
	Experience decreased interest in activities
	Feel unable to enjoy life
	Suffer from muscle aches and pains with no specific physical diagnosis
	Grind your teeth
	Have blurred vision
	Experience ringing in the ears
	Have irregular heart beat (Tachycardia)
	Have heart palpitations
	Experience chest pains
	Have the sensation of feeling faint
	Have feelings of pressure in your chest
	Have choking sensations
	Have shortness of breath
	Have frequent upset stomach
	Have nausea or vomiting
	Experience constipation
	Have unexplained weight loss
	Experience abdominal fullness
	Experience urinary frequency or urgency
	Have dysmenorrhea
	Experience impotence
	Have dry mouth
	Experience flushing
	Sweat excessively
	Have a pallor to your skin

	Total

Interpretation:

Source: Hamilton Anxiety Scale

Scores over 18 could indicate anxiety disorder. Please contact your doctor or other qualified Mental Health professional for treatment and advice.