Never	Occasionally	Half of the time	Most of the time	All of the time
… felt moments of sudden terror, fear or fright, sometimes out of the blue	0	1	2	3	4
… felt anxious, worried, or nervous about having more panic attacks	0	1	2	3	4
… had thoughts of losing control, dying, going, crazy or other bad things happening because of panic attacks	0	1	2	3	4
… felt a racing heart, sweaty, trouble breathing, faint, or shaky	0	1	2	3	4
… felt tense muscles, on edge or restless, or trouble relaxing or trouble sleeping	0	1	2	3	4
… avoided, or did not approach or enter, situations in which panic attacks might occur	0	1	2	3	4
… left situations early, or participated only minimally because of panic attacks	0	1	2	3	4
… spent a lot of time preparing for, or procrastinating about (putting off), situations in which panic attacks might occur	0	1	2	3	4
… distracted myself to avoid thinking about panic attacks	0	1	2	3	4
… needed help to cope with panic attacks (e.g. alcohol or medications, superstitious objects, other people)	0	1	2	3	4

Reprinted with permission from American Psychiatric Association. Copyright © 2012, American Psychiatric Association. All rights reserved.