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Depression Survey
Anxiety Survey
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Are you suffering from Anxiety? Take this quick test of your symptoms to learn more.
Instructions:
The following self-administered questionnaire is commonly used by doctors to determine the severity of anxiety symptoms. Please answer all 7 questions and press submit. I will email you the results shortly along with other helpful information.
Over the last 2 weeks, how often have you been bothered by any of the following problems?
*
Indicates required field
Feeling nervous, anxious or on edge?
*
Not at all
Several days
More than half the days
Nearly every day
Not being able to stop or control worrying
*
Not at all
Several days
More than half the days
Nearly every day
Worrying too much about different things
*
Not at all
Several days
More than half the days
Nearly every day
Trouble relaxing
*
Not at all
Several days
More than half the days
Nearly every day
Being so restless that it's hard to sit still
*
Not at all
Several days
More than half the days
Nearly every day
Becoming easily annoyed or irritable
*
Not at all
Several days
More than half the days
Nearly every day
Feeling afraid as if something awful might happen
*
Not at all
Several days
More than half the days
Nearly every day
Email
*
Name (optional)
*
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Last
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Home
About Brooke M. Sklar
TREATMENT AREAS
Adult Individual Therapy
Couples Counseling
EMDR
Teen/Young Adult
Divorce support and Co-parenting
Information
Resources
Symptom Questionnaires
>
Depression Survey
Anxiety Survey
Contact Brooke