Tinnitus and hyperacusis therapy specialist unit

Anxiety

For each question please select one number based on how you are feeling now.

Over the last 2 weeks, how often have you been bothered by the following problems? (Use “✓” to indicate your answer)	Not at all	Several Days	More than half the days	Nearly every day
1. Feeling nervous, anxious or on edge	0	1	2	3
2. Not being able to stop or control worrying	0	1	2	3
3. Worrying too much about different things	0	1	2	3
4. Trouble relaxing	0	1	2	3
5. Being so restless that it is hard to sit still	0	1	2	3
6. Becoming easily annoyed or irritable	0	1	2	3
7. Feeling afraid as if something awful might happen.	0	1	2	3