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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.





I was aware of dryness of my mouth





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





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





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





I tended to over-react to situations.





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





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





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





I felt that I had nothing to look forward to.





I found myself getting agitated





I found it difficult to relax.





I felt downhearted and blue.





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





I felt I was close to panic.





I was unable to become enthusiastic about anything.





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





I felt that I was rather touchy.





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).





I felt scared without any good reason.





I felt that life was meaningless.





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