Anxiety Symptoms Questionnaire BAI by Julien Kos Welcome to your Anxiety Symptoms Questionnaire BAI 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 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 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 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 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. 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. 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. 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. 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. 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. 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. 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. 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. Difficulty in breathing Not a Mildly but it didn’t bother me much. Moderately - it wasn’t pleasant at times. Severely – it bothered me a lot. 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. 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. 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. 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. 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. 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. Time's up