Anxiety Symptoms
  Self-Assessment
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Anxiety Self-Assessment

Take this short survey by answering yes or no to the following statements:

Feeling keyed-up, on edge or restless?
Yes
No
Feeling stressed most of the time?
Yes
No
Having trouble sleeping?
Yes
No
Feeling fatigued?
Yes
No
Having trouble concentrating or mind goes blank?
Yes
No
Feeling irritable, can't relax or uptight?
Yes
No
Noticing heart beating fast or muscle tension?
Yes
No
Feeling worried, anxious or fearful?
Yes
No

If you answered yes to 3 or more of these statements, you may be suffering from anxiety.

Summit Research Network occasionally participates in research studies for anxiety. If you would like more information about anxiety studies, please call (503) 228-CARE (2273), or fill out the form below and we will contact you.

All information you provide is stored in a secure site, and cannot be released to any third party without your written and signed authorization.

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