Beck Anxiety Inventory (BAI) Test Welcome to your Beck Anxiety Inventory (BAI) Test Name Email Phone 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. Numbness or tingling Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Feeling hot Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Wobbliness in legs Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Unable to relax Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Fear of worst happening Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Dizzy or lightheaded Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Heart pounding / racing Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Unsteady Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Terrified or afraid Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Nervous Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Feeling of choking Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Hands trembling Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Shaky / unsteady Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Fear of losing control Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Difficulty in breathing Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Fear of dying Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Scared Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Indigestion Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Faint / lightheaded Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Face flushed Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Hot / cold sweats Not at all Mildly, but it didn’t bother me much Moderately – it wasn’t pleasant at times Severely – it bothered me a lot None Time's up Leave a Reply Cancel replyCommentEnter your name or username to comment Enter your email address to comment Enter your website URL (optional) Save my name, email, and website in this browser for the next time I comment.
