Anxiety Screening

Over the last two weeks, how often have you been bothered by the following problems?

Please note, all fields are required for this screen.

1. Feeling nervous, anxious, or on edge
2. Not being able to sleep or control worrying
3. Worrying too much about different things
4. Trouble relaxing
5. Being so restless that it is hard to sit still
6. Becoming easily annoyed or irritable
7. Feeling afraid, as if something awful might happen