How often did you feel nervous, anxious, or on edge during the last 2 weeks?
Over the past 2 weeks, how much has your anxiety/worry interfered with your life, work, social activities, family, etc.?
What are your main causes of anxiety during the last 2 weeks?
What physical symptoms of anxiety have you felt?
What else have you experienced in the last 2 weeks?
How often did you feel down, depressed, or hopeless during the last 2 weeks?
How often did you feel anxious or panicky before social situations (e.g., talk to people, doing something in front of others)?
You tend to worry more about…
How do you usually relieve stress?
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