Never	Occasionally	Half of the time	Most of the time	All of the time
… felt moments of sudden terror, fear or fright	0	1	2	3	4
… felt anxious, worried, or nervous	0	1	2	3	4
… had thoughts of bad things happening, such as family tragedy, ill‐health, loss of a job or accidents	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 had	0	1	2	3	4
trouble relaxing or trouble sleeping
…avoided, or did not approach or enter, situations about which I worry	0	1	2	3	4
… left situations early or participated only minimally due to worries	0	1	2	3	4
… spent a lot of time making decisions or putting	0	1	2	3	4
off making decisions, or preparing for situations, due to worries
… sought reassurance from others due to worries	0	1	2	3	4
(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.