Tell us a little about yourself
Your information is completely Private and Confidential
Q1. In the last 2 weeks how often have you experienced?
Feeling nervous, Anxious OR On the edge
Q2. In the last 2 weeks how often have you experienced?
Not being able to stop OR Control worrying
Q3. In the last 2 weeks how often have you experienced?
Worrying too much about different things
Q4. In the last 2 weeks how often have you experienced?
Having trouble relaxing
Q5. In the last 2 weeks how often have you experienced?
Being Very Restless
Q6. In the last 2 weeks how often have you experienced?
Becoming easily annoyed OR Irritable