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Indicate the extent to which the statements made last week were applicable to you.

Question 1 of 24

1. I found it hard to wind down.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 2 of 24

2. I was aware of dryness of my mouth.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 3 of 24

3. I couldn't seem to experience any positive feeling at all.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 4 of 24

4. I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion).

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 5 of 24

5. I found it difficult to work up the initiative to do things.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 6 of 24

6. I tended to over-react to the situations.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 7 of 24

7. I experienced trembling (eg, in the hands).

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 8 of 24

8. I felt that I was using a lot of nervous energy.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 9 of 24

9. I was worried about situations in which I might panic and make a fool of myself.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 10 of 24

10. I felt that I had nothing to look forward to.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 11 of 24

11. I found myself getting agitated.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 12 of 24

12. I found it difficult to relax.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 13 of 24

13. I felt down-hearted and blue.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 14 of 24

14. I was intolerant of anything that kept me from getting on with what I was doing.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 15 of 24

15. I felt I was close to panic.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 16 of 24

16. I was unable to become enthusiastic about anything.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 17 of 24

17. I felt I wasn't worth much as a person.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 18 of 24

18. I felt I was rather touchy.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 19 of 24

19. I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat).

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 20 of 24

20. I felt scared without any good reason.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 21 of 24

21. I felt that life was meaningless.

Not at all
At some degree or some of the time
At a considerable degree or a good part of time
Very much or most part of the time

Question 22 of 24

What problem would you like to work on first?

Question 23 of 24

What do you want to achieve by doing so?

Question 24 of 24

What's your sex?

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