Instructions: Please read each statement carefully and rate your experience on a scale of 1 to 5, with 1 being "Not at all" and 5 being "Extremely."
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I feel tense, restless, or wound-up. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
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I worry about many different things. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
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I have difficulty concentrating or focusing on tasks. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
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I experience physical symptoms such as headaches, muscle tension, or stomachaches. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
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I have trouble falling asleep or staying asleep due to racing thoughts or worries. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
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I feel irritable or on edge. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
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I avoid situations or activities because they make me anxious. (1) Not at all (2) Slightly (3) Moderately (4) Very (5) Extremely
Scoring: Total your scores for each item. A higher score indicates a higher level of anxiety.
1-10: Minimal anxiety 11-20: Mild anxiety 21-30: Moderate anxiety 31-35: Severe anxiety
Note: This questionnaire is not a diagnostic tool. If you're concerned about your anxiety, please consult a mental health professional.