Over the last 2 weeks, how often have you been bothered by the following problems?

• Feeling nervous, anxious, or on edge

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Not being able to stop or control worrying

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Worrying too much about different things

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Trouble relaxing

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Being so restless that it is hard to sit still

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Becoming easily annoyed or irritable

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Feeling afraid as if something awful might happen

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day