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Please read each statement and select the option which indicates how much the statement applied to you over the past week . There are no right or wrong answers. Do not spend too much time on any statement.

I found it hard to wind down.

I was aware of dryness of my mouth.

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

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

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

I tended to over-react to situations.

I experienced trembling (e.g. in the hands).

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

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

I felt that I had nothing to look forward to.

I found myself getting agitated.

I found it difficult to relax.

I felt down-hearted and blue.

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

I felt I was close to panic.

I was unable to become enthusiastic about anything.

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

I felt I was rather touchy.

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

I felt scared without any good reason.

I felt that life was meaningless.

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