Anxiety Survey

Welcome to your Anxiety Survey

Over the last 2 weeks, how often have you felt nervous, anxious, and on edge?

Over the last 2 weeks, how often have you not been able to control or stop worrying?

Over the last 2 weeks, how often have you been worrying too much about different things?

Over the last 2 weeks, how often have you had trouble relaxing?

Over the last 2 weeks, how often have you been so restless that it is hard to sit still?

Over the last 2 weeks, how often have you become easily annoyed or irritable?

Over the last 2 weeks, how often have you felt afraid as if something awful might happen?

Congratulations! You've made it to the end of the Anxiety Survey.

Enter your details below and click 'Submit' and we'll email you the results of your survey...

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