| Question |
Response |
| 1. |
Do you experience excessive anxiety and worry about a number of events or activities (such as work or school performance)? |
|
| 2. |
Have these worries occurred more days than not for at least six months? |
|
| 3. |
Do you find it difficult to control the worry? |
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| 4. |
Have you felt restless, keyed up, or on edge more days than not for at least six months? |
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| 5. |
Have you been easily fatigued more days than not for at least six months? |
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| 6. |
Have you had difficulty concentrating or with your mind going blank more days than not for at least six months? |
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| 7. |
Have you felt irritable more days than not for at least six months? |
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| 8. |
Have you experienced muscle tension more days than not for at least six months? |
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| 9. |
Have you experienced sleep disturbance (difficulty falling or staying asleep or restless, unsatisfying sleep) more days than not for at least six months? |
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| 10. |
Do anxiety, worry, or physical symptoms cause you to feel very distressed? |
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| 11. |
Do anxiety, worry, or physical symptoms cause significant impairment in your social life, work, or other important areas of functioning? |
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