Hamilton Anxiety Scale - Questionnaire
On a scale of 0 to 4, with 0 being "there is no problem" and 4 being "the situation is disabling to you", how do you rate yourself for each of the following symptoms of anxiety.
Symptom Rating Scale (0 = No Problem, 4 = Disabling)
Anxious Mood
1. Worries _____
2. Anticipates worst _____
Tension
3. Startles _____
4. Cries easily _____
5. Restless _____
6. Trembling _____
Fears
7. Fear of the dark _____
8. Fear of strangers _____
9. Fear of being alone _____
10. Fear of animals _____
Insomnia
11. Difficulty falling asleep or staying asleep _____
12. Difficulty with nightmares _____
Intellectual
13. Poor concentration _____
14. Memory impairment _____
Depressed Mood
15. Decreased interest in activities _____
16. Anhedonia (inability to experience pleasure) _____
17. Insomnia (inability to get restful sleep) _____
Somatic Complaints: Muscular
18. Muscle aches or pains _____
19. Bruxism (clenching and grinding teeth) _____
Somatic Complaints: Sensory
20. Tinnitus (ringing in ears) _____
21. Blurred vision _____
Cardiovascular Symptoms
22. Tachycardia (abnormally rapid heartbeat) _____
23. Palpitations (noticeably rapid, strong, or irregular heartbeat) _____
24. Chest pain _____
25. Sensation of feeling faint _____
Respiratory Symptoms
26. Chest pressure _____
27. Choking sensation _____
28. Shortness of Breath _____
Gastrointestinal symptoms
29. Dysphagia (difficult or painful swallowing) _____
30. Nausea or Vomiting _____
31. Constipation _____
32. Weight loss _____
33. Abdominal fullness _____
Genitourinary symptoms
34. Urinary frequency or urgency _____
35. Dysmenorrhea (painful menstruation) _____
36. Impotence (inability to achieve an erection) _____
Autonomic Symptoms
37. Dry mouth _____
38. Flushing _____
39. Pallor _____
40. Sweating _____
How Did You Act As You Completed This Questionnaire
41. Fidgety _____
42. Had Tremors _____
43. Paced Around _____
Once you have completed the Hamilton Anxiety Scale questionnaire, total up your score.
0-17: Normal
18-24: Mild anxiety
25-29: Moderate anxiety
30 +: Severe anxiety
No matter your score, if you feel any of the symptoms outlined on the Hamilton Anxiety Scale, there is help available. I strongly recommend that you try Gary Craig's Emotional Freedom Techniques or EFT to get rid of anxiety and start taking back control of your health and your life today.
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