Summit Research Network


		Anxiety Symptoms
		Self-Assessment
		Anxiety Video

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 is currently seeking individuals experiencing the above symptoms to participate in research studies of investigational medications for anxiety. If you are selected, all research-related care and study medications will be provided at no cost.

If you would like more information on our current studies, please call us at
(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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oregon@summitnetwork.com

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