Question 1: Do you feel sad or irritable?

Question 2: Difficulty in getting your breath, smothering, or over breathing.

Question 3: Choking sensation or a lump in the throat

Question 4: Skipping, racing, or pounding of your heart

Question 5: Chest Pain, pressure, or discomfort

Question 6: Bouts of excessive sweating

Question 7: Faintness, light-headedness, or dizzy spells

Question 8: Sensation of rubbery or "jelly" legs

Question 9: Feeling off balance or unsteady like you might fall

Question 10: Nausea or stomach problems

Question 11: Feeling that things around you are strange, unreal, foggy, or detached from you

Question 12: Feeling outside or detached from part or all of your body, or a floating freely

Question 13: Tingling or numbness in parts of your body

Question 14: Hot flashes or cold chills

Question 15: Shaking or trembling

Question 16: Having a fear that you are dying or that something terrible is about to happen

Question 17: Feeling you are loosing control or going insane

Question 18: Sudden anxiety attacks with three or more of the symptoms listed above that occur when you are in or are about to go into a situation that is likely, from your experience, to bring on an attack

Question 19: Sudden unexpected anxiety attacks with three or more symptoms listed above that occur with little or no provocation (i.e. when you are NOT in a situation that is likely, from your experience to bring on an attack)

Question 20: Sudden unexpected spells with only one or two symptoms (listed above) that occur with little or no provocation (i.e. when you are NOT in a situation that is likely , from your experience, to bring on an attack)

Question 21: Anxiety episodes that build up as you anticipate doing something that is likely, from your experience, to bring on anxiety that is more intense than most people experience in such situations

Question 22: Avoiding situations because they frighten you

Question 23: Being dependent on others

Question 24: Tension and inability to relax

Question 25: Anxiety, nervousness, restlessness

Question 26: Spells of increased sensitivity to sound, light, or touch

Question 27: Attacks of diarrhea

Question 28: Worrying about your health too much

Question 29: Feeling tired, weak, and exhausted easily

Question 30: Headaches or pains in the neck or head

Question 31: Difficulty in falling asleep

Question 32: Waking in the middle of the night, or restless sleep

Question 33: Unexpected waves of depression occurring with little or no provocation

Question 34: Emotions and moods going up and down a lot in response to changes around you

Question 35: Recurrent and persistent ideas, thoughts, impulses, or images that are intrusive, unwanted, senseless, or repugnant

Question 36: Having to repeat the same action in a ritual, e.g., checking, washing, counting repeatedly, when it is not really necessary