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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.

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Testimonials

When I started seeing you for therapy I felt so overwhelmed and trapped in daily battles with my three children. Thank you so much for all your help. It has really helped me gain a better perspective. I am now a role model for my children and help them worry less about things by teaching them the tools you taught me.

Margaret R.

When I first came to see Dr. Allen, I was sick of struggling with my weight. With her help, I realized that a lot of my eating habits were a way of dealing with the bad relationship I was in. With her support, I made some big changes in my life, increased my self-confidence and found better ways to deal with my stressful job. Now I don’t need to eat my way to feeling better, I have much better ways to cope with life’s difficulties.

Ann C.

I have always been on a diet and my mood went up and down as my weight did. My internist thought I might be depressed and referred me to Sarah. I was willing to give anything a try but really thought I just needed more self discipline to stick to my diet. By talking things through with her I quickly realized that not being able to stick to a diet wasn’t really about food, although I certainly craved sweets. I learned to notice how different emotions and situations triggered my overeating and Sarah showed me other ways that don’t involve food to deal with how I felt. I have a much better relationship with food now and don’t view it as the enemy. Sarah showed genuine concern and was very encouraging. I would recommend her services to anyone struggling with eating issues.

Anonymous

I first came to see Dr. Allen I was completely exhausted by battling with my son who has ADHD and angry outbursts. I have learned how to stay calm and that helps him stay calm too and we have a much better relationship. We still have our difficult days but I am in a better position to deal with them and at the end the day I am left feeling that I am done my best, not guilty that I have failed him. The techniques she taught me for helping him deal with his ADHD have been very useful for all of us.

Cathy S.

My baby didn’t sleep. She wouldn’t sleep more than a couple of hours at night and no more than 30 minutes during the day. I was completely overwhelmed and my husband and I were at each other’s throats. I was supposed to be going back to work but was barely functioning. Sarah helped us to learn how to get our baby sleeping and then she supported me in my transition back to work. She also helped my husband and I navigate how to share childcare and running the house fairly. She is such a knowledgeable doctor and has really helped us become a healthy, happy family.

Pam. L.

When I started seeing Dr. Allen for therapy I felt so overwhelmed and trapped in daily battles with my three children. Thank you so much for all your help. It has really helped me gain a better perspective. I am now a role model for my children and help them worry less about things by teaching them the tools you taught me.

Margaret R.

Thank you for all of your support. I am finally feeling so much better. I never thought I would get to such a good place in my life. Your voice and words of encouragement were extremely helpful.

Sharon T.

Thank you so much for all the support and counsel you have given me. You have made such a positive impact on my life and I very much appreciate it. I had some very dark days when I first came in to see you but I can now enjoy my life with my husband and two kids and I am emotionally present when I am with them.

Katy W.

I had heard great things about Dr. Allen from a friend so I decided to try her. I have had therapy in the past as I have experienced depression for many years but this is the most productive therapy I have ever had. I have really learned a lot and felt very supported. I feel my mood has improved greatly and my depression has significantly decreased. I would definitely recommend her if you are looking for a therapist.

Andrew S.

Dr. Allen has really helped me find my own voice. When I began therapy I would swing between being passive and doing whatever other people wanted me to do to being angry and frustrated. I have been on antidepressants for quite a few years but it wasn’t really working. Through therapy I have learned to listen to my own needs and to speak up. I used to worry that people wouldn’t like me if I didn’t agree with them but when Dr. Allen gave me the support I needed I challenged my fears. I spend a lot less time feeling angry and depressed now and I have really widened my social network. This is how I have always wanted to be but didn’t know how to get there. Dr. Allen has a very reassuring manner and makes you challenge yourself but by using small steps so you feel ready to do it. I have really come out of my shell and would recommend anyone who is feeling depressed to come and talk with her.

Rebecca F.

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