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Personal Assessment ID
1- Headache * Not at all Rarely Moderately Often Very often
2- Nervousness or inward trembling * Not at all Rarely Moderately Often Very often
3- Unwanted thoughts, words, or ideas that won't leave your mind * Not at all Rarely Moderately Often Very often
4- Dizziness * Not at all Rarely Moderately Often Very often
5- Loss of sexual interest or pleasure * Not at all Rarely Moderately Often Very often
6- Feeling critical of others * Not at all Rarely Moderately Often Very often
7- The idea that someone else is controlling your thoughts * Not at all Rarely Moderately Often Very often
8- Feeling others are to blame for most of your troubles * Not at all Rarely Moderately Often Very often
9- Trouble remembering things * Not at all Rarely Moderately Often Very often
10- Worried about negligence or carelessness * Not at all Rarely Moderately Often Very often
11- Easily annoyed or irritated * Not at all Rarely Moderately Often Very often
12- Pain in the heart or chest * Not at all Rarely Moderately Often Very often
13- Afraid when in open spaces or on the streets * Not at all Rarely Moderately Often Very often
14- Feeling low in energy or feeling down * Not at all Rarely Moderately Often Very often
15- Thoughts of suicide * Not at all Rarely Moderately Often Very often
16- Hearing voices that others do not hear * Not at all Rarely Moderately Often Very often
17- Trembling * Not at all Rarely Moderately Often Very often
18- Feeling that most people cannot be trusted * Not at all Rarely Moderately Often Very often
19- Lack of appetite * Not at all Rarely Moderately Often Very often
20- Crying easily * Not at all Rarely Moderately Often Very often
21- Feeling shy or uneasy with the opposite sex * Not at all Rarely Moderately Often Very often
22- Feeling of being trapped or caught * Not at all Rarely Moderately Often Very often
23- Being suddenly frightened for no reason * Not at all Rarely Moderately Often Very often
24- Temper outbursts that you cannot control * Not at all Rarely Moderately Often Very often
25- Feeling afraid to go out of your house alone * Not at all Rarely Moderately Often Very often
26- Blaming yourself for things * Not at all Rarely Moderately Often Very often
27- Pains in the lower back * Not at all Rarely Moderately Often Very often
28- Feeling blocked in getting things done * Not at all Rarely Moderately Often Very often
29- Feeling lonely * Not at all Rarely Moderately Often Very often
30- Feeling sad * Not at all Rarely Moderately Often Very often
31- Worrying too much about things * Not at all Rarely Moderately Often Very often
32- Lack of interest in things * Not at all Rarely Moderately Often Very often
33- Fearful feelings * Not at all Rarely Moderately Often Very often
34- Your feelings are easily hurt * Not at all Rarely Moderately Often Very often
35- Feels that other people are aware of your private thoughts * Not at all Rarely Moderately Often Very often
36- Feeling others do not understand you or are unsympathetic * Not at all Rarely Moderately Often Very often
37- Feeling that people are unfriendly or dislike you * Not at all Rarely Moderately Often Very often
38- Having to do things very slowly to insure correctness * Not at all Rarely Moderately Often Very often
39- Heart pounding or palpitation * Not at all Rarely Moderately Often Very often
40- Feelings of vomiting or upset stomach * Not at all Rarely Moderately Often Very often
41- Feeling inferior to others * Not at all Rarely Moderately Often Very often
42- Soreness of your muscles * Not at all Rarely Moderately Often Very often
43- Feeling that you are being watched or being talked about by others * Not at all Rarely Moderately Often Very often
44- Trouble falling asleep * Not at all Rarely Moderately Often Very often
45- Having to check and double-check what you do * Not at all Rarely Moderately Often Very often
46- Difficulty making decisions * Not at all Rarely Moderately Often Very often
47- Feeling afraid to travel on buses or trains * Not at all Rarely Moderately Often Very often
48- Trouble getting your breathe * Not at all Rarely Moderately Often Very often
49- Hot flushes or chills * Not at all Rarely Moderately Often Very often
50- Having to avoid certain things, places, or activities because they frighten you * Not at all Rarely Moderately Often Very often
51- Your mind going blank * Not at all Rarely Moderately Often Very often
52- Numbness or tingling in some parts of your body * Not at all Rarely Moderately Often Very often
53- A lump in your throat * Not at all Rarely Moderately Often Very often
54- Feeling hopeless about the future * Not at all Rarely Moderately Often Very often
55- Trouble concentrating * Not at all Rarely Moderately Often Very often
56- Feeling weak in some parts of your body * Not at all Rarely Moderately Often Very often
57- Feeling tense or anxious * Not at all Rarely Moderately Often Very often
58- Heavy feelings in your arms or legs * Not at all Rarely Moderately Often Very often
59- Thoughts of death or dying * Not at all Rarely Moderately Often Very often
60- Overeating * Not at all Rarely Moderately Often Very often
61- Feeling uneasy when people are watching or talking about you * Not at all Rarely Moderately Often Very often
62- Having thoughts that are not your usual thinking * Not at all Rarely Moderately Often Very often
63- Having urges to beat, injure, or harm someone * Not at all Rarely Moderately Often Very often
64- Awakening in the early hours of the morning * Not at all Rarely Moderately Often Very often
65- Having to repeat the same actions such as touching, counting, washing etc * Not at all Rarely Moderately Often Very often
66- Restless or disturbing sleep * Not at all Rarely Moderately Often Very often
67- Having urges to break or smash things * Not at all Rarely Moderately Often Very often
68- Having ideas or beliefs that others do not share * Not at all Rarely Moderately Often Very often
69- Feeling very self-conscious about others * Not at all Rarely Moderately Often Very often
70- Feeling uneasy in crowds, such as shopping or at a movie * Not at all Rarely Moderately Often Very often
71- Feeling everything need an effort * Not at all Rarely Moderately Often Very often
72- Feelings of terror or panic * Not at all Rarely Moderately Often Very often
73- Feeling uncomfortable about eating or drinking in public * Not at all Rarely Moderately Often Very often
74- Getting into frequent arguments * Not at all Rarely Moderately Often Very often
75- Feeling nervous when you are left alone * Not at all Rarely Moderately Often Very often
76- Others not giving you proper credit for your achievements * Not at all Rarely Moderately Often Very often
77- Feeling lonely even when you are with people * Not at all Rarely Moderately Often Very often
78- Feeling so restless you couldn't sit still * Not at all Rarely Moderately Often Very often
79- Feelings of worthlessness * Not at all Rarely Moderately Often Very often
80- Feeling that familiar things are strange or unreal * Not at all Rarely Moderately Often Very often
81- Shouting or throwing things * Not at all Rarely Moderately Often Very often
82- Feeling afraid you will faint in public * Not at all Rarely Moderately Often Very often
83- Feeling that people will take advantage of you if you let them * Not at all Rarely Moderately Often Very often
84- Having thoughts about sex that bother you a lot * Not at all Rarely Moderately Often Very often
85- The idea that you should be punished for your sins * Not at all Rarely Moderately Often Very often
86- Feeling pushed to get things done * Not at all Rarely Moderately Often Very often
87- The idea that something serious is wrong with your body * Not at all Rarely Moderately Often Very often
88- Never feeling close to another person * Not at all Rarely Moderately Often Very often
89- Feelings of guilt * Not at all Rarely Moderately Often Very often
90- The idea that something is wrong with your mind * Not at all Rarely Moderately Often Very often
