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Self-Administered Evaluation: Anxiety

Self-Administered Evaluation: Anxiety

Take this self-administered evaluation and discover if you may be suffering from an anxiety disorder
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1
How often do you find yourself feeling nervous anxious or on edge?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
or press ENTER or press ENTER
This question is required
Not a valid answer
2
How often do you find yourself not being able to stop or control worrying thoughts?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
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Not a valid answer
4
How often do you find yourself worrying too much about different things?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
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Not a valid answer
4
How often do you find yourself struggling to relax?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
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Not a valid answer
5
How often do you find yourself so restless that it is hard to sit still?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
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Not a valid answer
6
How often do you find yourself easily annoyed or irritated?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
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Not a valid answer
7
How often do you find yourself feeling afraid as if something awful might happen?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
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This question is required
Not a valid answer
8
If you have experienced any of the previously mentioned symptoms, how difficult have these problems made it for you at school, work, home, or with other people?
  • A Not difficult
  • B Somewhat difficult
  • C Very difficult
  • D Impossible
or press ENTER or press ENTER
This question is required
Not a valid answer
9
Next: Demographics
Next, we will ask for some demographics in order for us to properly understand how mental health conditions vary by age, gender, race, etc.
  • A Next
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Not a valid answer
10
Please select your age range
  • A 11-17
  • B 18-24
  • C 25-34
  • D 35-44
  • E 45-54
  • F 55-64
  • G 65+
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Not a valid answer
11
Please select your gender
  • A Male
  • B Female
  • C Transgender
  • D Non-Binary
  • E Gender Fluid
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Not a valid answer
12
Please select your ethnicity
  • A American Indian or Alaskan Native
  • B Asian
  • C Black or African American
  • D Hispanic or Latino
  • E Middle Eastern or North African
  • F Native Hawaiian or Other Pacific Islander
  • G White
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Not a valid answer
13
Please select all that apply to you
  • A Veteran or active duty military
  • B Caregiver of someone with emotional or physical illness
  • C LGBTQ+
  • D Student
  • E Trauma survivor
  • F New or expecting mother
  • G Healthcare worker
or press ENTER or press ENTER
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Not a valid answer
14
Have you ever been diagnosed with a mental health condition by a professional (doctor, therapist, etc.)?
  • A Yes
  • B No
or press ENTER or press ENTER
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Not a valid answer
15
Have you ever received treatment/support for a mental health problem?
  • A Yes
  • B No
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Not a valid answer
16
What state do you live in?
Please use this format (MN, NY, PA, etc...)
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This question is required
Please enter your state using letters only
17
What is your zip code?
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Please enter your zip code using numbers only
18
Please enter your email so we can send you a copy of the evaluation results
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This question is required
Please enter valid email address

Thank you for completing the evaluation. A copy of the results has been emailed to you.

Please note: Online screening tools are not diagnostic instruments. You are encouraged to share your results with a physician, healthcare provider or otherwise trusted individual. Unmasked Culture, sponsors, partners, and advertisers disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of these screens.

By completing this evaluation, you have consented to receive communications from Unmasked Culture Foundation.
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