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. 2001 May 5;322(7294):1098–1100. doi: 10.1136/bmj.322.7294.1098

Table 1.

Nijmegen questionnaire. Respondents are asked to ring the score that best describes the frequency with which they experienced the symptoms listed

Symptom Never Seldom Sometimes Often Very often
Chest pain 0 1 2 3 4
Feeling tense 0 1 2 3 4
Blurred vision 0 1 2 3 4
Dizziness 0 1 2 3 4
Confusion or loss of touch with reality 0 1 2 3 4
Fast or deep breathing 0 1 2 3 4
Shortness of breath 0 1 2 3 4
Tightness across chest 0 1 2 3 4
Bloated sensation in stomach 0 1 2 3 4
Tingling in fingers and hands 0 1 2 3 4
Difficulty in breathing or taking a deep breath 0 1 2 3 4
Stiffness or cramps in fingers and hands 0 1 2 3 4
Tightness around the mouth 0 1 2 3 4
Cold hands or feet 0 1 2 3 4
Palpitations in the chest 0 1 2 3 4
Anxiety 0 1 2 3 4