How is your sleep? Do you suffer from any of the following: Usually taking a very long time to fall asleep. Waking several times during the night. Waking early and not being able to go back to sleep.
True		False

Do you experience Irritable Bowel Syndrome – Pressure to go to the toilet when worrying. On-going pain, constipation, flatulence, or diarrhoea?
True		False

Do you experience absent-mindedness – forgetting simple thing like what you came into a room for, where you left your keys etc.?
True		False

Are you hyper-vigilant – spotting small detail, quickly summing people up, noticing what might be at risk of being knocked off a table before others do etc.?
True		False

Worrying about what others think – Are you re-running conversations you’ve had, and worrying whether you were misunderstood or if you got your point across, second guessing your decisions, etc.
True		False

Are you avoiding trying in case you might fail and thus waste the opportunity – The feeling of ‘If I don’t try I can’t be seen to fail’?
True		False

Are you avoiding people or situations that make you anxious – such as: particular individuals, going out socially, making appointments, crowds, speaking in public etc.
True		False

Do you suffer from procrastination – putting off what you want to do or need to do? For example: often watching TV, playing online games or video games, to keep your mind off upcoming tasks. Usually this occurs where any task feels crushing or pressured and you just avoid it even though it’ll be more urgent and more pressure later.
True		False

Do you have frequent pain or ‘butterflies’ in the belly when worrying or do you find your heart pounding or your chest tightening during everyday situations?
True		False

Are you often tired or suffering low energy? Very often people with anxiety are tired in the mornings and have energy late at night.
True		False

Do you catch colds often or take longer than usual to recover from infections etc?
True		False

Does anger sometimes explode in you from minor things? Are you on a hair trigger for anger?
True		False

Are you uncomfortable receiving a compliment?
True		False

Do you become angry or anxious when getting advice, perhaps feeling it is a judgement on you that the deliverer thinks you need it?
True		False

Do you question what you know, or feel you have to make excuses for everyday stuff? I.E. Starting with 'You are probably full already but...', 'I'm sorry to ask but...'.
True		False

Are you shy about asking strangers a simple question, such as asking the price of something in a shop, or making a phone call?
True		False

Do you feel you always have to be right, and then regret some of your actions around that later on?
True		False

Do you feel under attack in meetings, even feeling you have to clarify your comments when someone agrees with you?
True		False

Do you find at times that tension is released by shopping, but where you're unhappy about what you bought later on?
True		False

When something makes you feel uncomfortable do you get a hot flush or a prickly surge under your hair?
True		False

Do you clench your jaw or tighten muscles when you concentrate, finding them sore afterwards?
True		False

Do you start courses but fail to follow through on them?
True		False

Do you get hugely enthused about something for a short while and can get a lot done, but then find that it is a temporary motivation feeling?
True		False

Are you easily upset and then keep running the thing which upset you over and over again?
True		False