Welcome to this survey. Press Next to begin.

Please read each statement and circle a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

I found it hard to wind down.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I was aware of dryness of my mouth

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I couldn't seem to experience any positive feeling at all.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I found it difficult to work up the initiative to do things.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I tended to over-react to situations.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I experienced trembling (e.g. in the hands)

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt that I was using a lot of nervous energy.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I was worried about situations in which I might panic and make a fool of myself.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt that I had nothing to look forward to.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I found myself getting agitated

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I found it difficult to relax.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt downhearted and blue.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I was intolerant of anything that kept me from getting on with what I was doing.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt I was close to panic.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I was unable to become enthusiastic about anything.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt I wasn't worth much as a person.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt that I was rather touchy.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat).

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt scared without any good reason.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

I felt that life was meaningless.

Did not apply to me at all:0 Applied to me to some degree or some of the time:1 Applied to me to a considerable degree or a good part of time: 2 Applied to me very much or most of the time: 3

Congratulations for completing this survey! Press finish to continue.