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Self-Administered Evaluation: Anxiety

Take this self-administered evaluation and discover if you may be suffering from an anxiety disorder
or press ENTER
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
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
This question is required
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
This question is required
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
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
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+
This question is required
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
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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
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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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16
What state do you live in?
Please use this format (MN, NY, PA, etc...)
This question is required
Please enter your state using letters only
17
What is your zip code?
This question is required
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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Please enter valid email address
Thank you for completing this evaluation. A copy of the results has been emailed to you.
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