Question 1
In the last month, have you been upset because of something that happened unexpectedly?
- Never
- Sometimes
- Fairly often
- Very often
Question 2
In the last month, have you felt that you were unable to control the important things in your life?
- Never
- Sometimes
- Fairly often
- Very often
Question 3
In the last month, have you felt nervous and 'stressed'?
- Never
- Sometimes
- Fairly often
- Very often
Question 4
In the last month, have you felt unsure about your ability to handle your personal problems?
- Never
- Sometimes
- Fairly often
- Very often
Question 5
In the last month, have you felt that things were not going your way?
- Never
- Sometimes
- Fairly often
- Very often
Question 6
In the last month, have you found that you could not cope with all the things that you had to do?
- Never
- Sometimes
- Fairly often
- Very often
Question 7
In the last month, have you been able to control irritations in your life?
- Never
- Sometimes
- Fairly often
- Very often
Question 8
In the last month, have you felt that you were on top of things?
- Never
- Sometimes
- Fairly often
- Very often
Question 9
In the last month, have you been angered because of things that were outside of your control?
- Never
- Sometimes
- Fairly often
- Very often
Question 10
In the last month, have you felt difficulties were piling up so high that you could not overcome them?
- Never
- Sometimes
- Fairly often
- Very often
Question 11
Do you feel tired even after sleeping?
- Never
- Sometimes
- Often
- Always
Question 12
Have you had unexplained physical pain like headaches or indigestion?
- Never
- Sometimes
- Often
- Always
Question 13
Have you had trouble concentrating or felt spaced out?
- Never
- Sometimes
- Often
- Always
Question 14
Has your appetite increased or decreased significantly?
- No change
- A little
- Quite a bit
- Very much
Question 15
Have you often thought about wanting to be alone?
- Never
- Sometimes
- Often
- Always
Question 16
Have you felt vague anxiety about the future?
- Never
- Sometimes
- Often
- Always
Question 17
Have you been easily tearful or emotionally unstable?
- Never
- Sometimes
- Often
- Always
Question 18
Did you feel guilty even when resting?
- Never
- Sometimes
- Often
- Always
Question 19
Did you feel annoyed about talking to people?
- Never
- Sometimes
- Often
- Always
Question 20
Have you ever thought 'I want to run away'?
- Never
- Sometimes
- Often
- Always