Directions:  Respond to the following items with either yes or no.  When you have responded to all items, click the Score button at the bottom of the page.

Do you worry about things, such as work or school,  more days than not?
    Yes
    No

Do you find it difficult to stop thoughts related to worrying?
    Yes
    No

Do you often feel restless or on edge even when nothing is going on around you to cause these feelings?
    Yes
    No

Is it hard for you to concentrate on specific tasks or do you often notice your mind just ‘going blank.‘
    Yes
    No

Do you often feel irritable or tense even when nothing is going on which would justify this feeling?
    Yes
    No

Is it difficult for you to fall asleep due to too many thoughts in your head?
    Yes
    No

Do you notice your muscles getting tense frequently or feel tension in the muscles of your lower back, neck, or eyes?
    Yes
    No

Do you find it difficult to sit still without having to fiddle with something, doodle, or make other repetitious movements?
    Yes
    No

Have you noticed periods during the day when you have symptoms such as heart palpitations, sweaty palms, or shallow breathing?
    Yes
    No

Do friends or family members tell you that you are too high strung, worry too much about little things, or need to ‘chill.’
    Yes
    No