0	1	2	3	4	5	6	7	8
No problem		Mild, occasionally feels distressed or feels mildly distressed but distress is brief and not severe or engages in minimal avoidance to manage distress		Moderate, regularly feels distressed or distress is moderately severe or distress lasts for more than a few minutes or engages in moderate avoidance to manage distress		Severe, frequently feels distressed or feels severely distressed with a noticeable intensity or distress lasts for more than an hour or engages in substantial avoidance to manage distress		Extreme, nearly constantly feels distressed or feels extremely distressed to point of being completely unable to cope or distress lasts for more than a few hours or engages in extreme avoidance to manage distress