1. Do you feel nervous or on edge?

Never Sometimes Often Always

2. Do you find it difficult to control your worry?

Never Sometimes Often Always

3. Do you have trouble relaxing?

Never Sometimes Often Always

4. Do you feel restless and can't sit still?

Never Sometimes Often Always

5. Do you feel easily annoyed or irritated?

Never Sometimes Often Always

6. Do you feel afraid as if something awful might happen?

Never Sometimes Often Always