Mental Health Assessment
60 questions, 15 min.

The questions below ask about anxiety and worrying.

In the last 6 months, have you experienced any of the following symptoms? If so, how often?

 Never A few times Sometimes Often Constantly
 1 2 3 4 5
1.  I was very anxious, worried or scared about a lot of things in my life.
2.  I felt that my worry was out of my control.
3.  I felt restless, agitated, frantic, or tense.
4.  I had trouble sleeping - I could not fall or stay asleep, and/or didn't feel well-rested when I woke up.