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Beck Anxiety Inventory
Personal profile
Name
*
First
Last
Age
*
Education
*
Education
High school
Associate Degree
Bachelor
MA
Doctorate
Date
*
Date Format: MM slash DD slash YYYY
Signs
Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the corresponding space in the column next to each symptom.
Question 1 : Numbness or tingling
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 2 : Feeling hot
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 3 : Wobbliness in legs
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 4 : Unable to relax
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 5 : Fear of worst happening
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 6 : Dizzy or lightheaded
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 7 : Heart pounding / racing
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 8 : Unsteady
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 9 : Terrified or afraid
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 10 : Nervous
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 11 : Feeling of choking
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 12 : Hands trembling
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 13 : Shaky / unsteady
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 14 : Fear of losing control
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 15 : Difficulty in breathing
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 16 : Fear of dying
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 17 : Scared
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 18 : Indigestion
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 19 : Faint / lightheaded
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 20 : Face flushed
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Question 21 : Hot / cold sweats
*
Not at all
Mildly, but it didn’t bother me much
Moderately – it wasn’t pleasant at times
Severely – it bothered me a lot
Points
Sum of points
Anxiety score 0 to 7
According to beck anxiety inventory scale results, the user do not have any criteria for anxiety and in this situation do not need to perform lab examination for finding reason of any problem.
نمره اضطراب 0 تا 7
Anxiety score 8 to 19
According to beck anxiety inventory scale results, the user is at risk of anxiety. Supportive therapy and visiting by a psychologist are recommended. It is enough for managing the anxiety; we do not need to plan for medical lab examination test or visiting by a psychiatrist. Supportive therapy such as: Usage herbal tea which can reduce anxiety such as Sedasor syrup, doing mental activities that can reduce anxiety such as solving a puzzle, knitting, pottery, playing music and doing Sports activities that can reduce it such as yoga or walking. It is better to come back to system after a month to see the results of your activities.
نمره اضطراب 8 تا 19
Anxiety score 20 to 29
According to beck anxiety inventory scale results, the user is suffering from moderate anxiety. usage anti anxiety drugs is necessary, Performing lab examination test for finding the reasons of this situation is recommended. Visiting by a psychiatrist is recommended too. Coming soon system version, offer you a request for lab examination that can help you to find the medical problems which affect on your anxiety such as anemia or hypothyroidism.
نمره اضطراب 20 تا 29
Anxiety score 30 and above
According to beck anxiety inventory scale results, the user is suffering from severe anxiety. Performing lab examination test for finding the reasons of this situation is recommended. Visiting by a psychologist and a psychiatrist is recommended. Combination therapy is recommended too. Coming soon system version, offer you a request for lab examination that can help you to find the medical problems which affect on your anxiety such as anemia or hypothyroidism.
نمره اضطراب 30 به بالا تر
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