Anxiety Inventory Questionnaire

Beck Anxiety Inventory Questionnaire  

This anxiety inventory can be self-scored. The scoring scale is at the end of the questionnaire.

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you
have been bothered by that symptom during the past month, including today, by circling the number in the
corresponding space in the column next to each symptom.

Question 1. Was there numbness and tingling?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot

Question 2. Did you feel hot?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 3. Was there Wobbliness in legs?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 4. Were you unable to relax ?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 5. Did you fear the worst would happen ?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 6. Were you dizzy or lightheaded?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 7. Was your heart pounding/racing?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 8. Were you feeling unsteady?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 9. Did you feel terrified or afraid?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 10. Did you feel nervous?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 11. Did you feel like you were choking?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 12. Were your hands trembling?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 13. Did you feel shaky or unsteady?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 14. Did you fear losing control?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 15. Did you have difficulty breathing?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 16. Did you have a fear of dying?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 17. Did you feel scared?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 18. Did you have indigestion?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 19. Did you feel faint or lightheaded?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 20. Did your face get flushed?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Question 21. Did you feel either hot or cold sweats?
0 Not at all.
1 Mildly – but it didn’t bother me much.
2 Moderately – it wasn’t pleasant at times.
3 Severely – it bothered me a lot.

Scoring – Sum each column. Then sum the column totals to achieve a grand score. Write that
score here ____________ .

Interpretation:

A grand sum between 0 – 21 indicates very low anxiety.

A grand sum between 22 – 35 indicates moderate anxiety.

A grand sum that exceeds 36 is a potential cause for concern. 

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