Q #1. Do you experience episodes of intense fear or panic, that are accompanied by feelings that something very bad is going to happen?
NeverRarelySometimesFrequentlyAlways

Q #2. Do you ever experience persistent mind chatter that has a negative tone about yourself and or others or just life in general?
NeverRarelySometimesFrequentlyAlways

Q #3. Do you find yourself obsessing about what you could have done differently in the past and blame yourself for what occurred?
NeverRarelySometimesFrequentlyAlways

Q #4. Do you panic about what could go wrong in the future and think of worst-case scenarios?
NeverRarelySometimesFrequentlyAlways

Q #5. Do you have goals you would like to achieve but avoid moving towards them because you fear you will/could fail?
NeverRarelySometimesFrequentlyAlways

Q #6. Do you berate yourself, put yourself down about what you haven’t done right or not achieved?
NeverRarelySometimesFrequentlyAlways

Q #7. Do you feel nervous about making mistakes and waste time procrastinating?
NeverRarelySometimesFrequentlyAlways

Q #8. Do you become easily rattled or startled when you are approached unexpectedly?
NeverRarelySometimesFrequentlyAlways

Q #9. Do you sometimes feel like you are losing your mind, and then become afraid that you maybe?
NeverRarelySometimesFrequentlyAlways

Q #10. Do you have obsessive thoughts about a person/s or event/s that occurred in the past?
NeverRarelySometimesFrequentlyAlways

Q #11. Are you impatient, or easily frustrated or angered?
NeverRarelySometimesFrequentlyAlways

Q #12. Has nervousness or anxiety prevented you from doing something?
NeverRarelySometimesFrequentlyAlways