Self-Reporting Anxiety Test

psychotherapist Philadelphia

David Steinberg, PhD

617 West Cliveden St.

Philadlephia, PA.

19119

215-253-4473
davidpsteinberg@gmail.com

Zung Self-Rating Anxiety Scale

This is a self-reporting anxiety measurement tool that is designed to help you measure the level of your anxiety. This instrument is designed for screening purposes only and is not to be used as a diagnostic tool. This exercise is for educational purposes only. Do your best to answer the questions quickly and without thinking too much about your response.

I prefer to respond anonymously:

No Yes

Name

E-mail

I feel more nervous and anxious than usual.

None or a little of the time.
Some of the time.
A good part of the time
Most or all of the time

I feel afraid for no reason at all.

A litte of the time.
Some of the time.
Good part of the time.
Most of the time.

I get upset easily or feel panicky.

A little of the time.
Some of the time
A good part of the time.
Most of the time.

I feel like I'm falling apart and going to pieces.

A little of the time.
Some of the time.
Good part of the time.
Most of the time.

I feel that everything is all right and nothing bad will happen.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

My arms and legs shake and tremble.

A little of the time.
Some of the time.
Good part of the time.
Most of the time.

I am bothered by headaches neck and back pain.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I feel weak and get tired easily.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I feel calm and can sit still easily.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I can feel my heart beating fast.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I am bothered by dizzy spells.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I have fainting spells or feel like it.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I can breathe in and out easily.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I get feelings of numbness and tingling in my fingers & toes.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I am bothered by stomach aches or indigestion.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

I have to empty my bladder often.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

My hands are usually dry and warm.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

My face gets hot and blushes.

A little of the time.
Some of the time.
A good part fo the time.
Most of the time.

I fall asleep easily and get a good night's rest.

A little of the time
Some of the time.
A good part of the time.
Most of the time.

I have nightmares.

A little of the time.
Some of the time.
A good part of the time.
Most of the time.

Additional Information

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David Steinberg is one of the new pioneers in mind-body medicine. He brings together the healing traditions of East and West with wisdom, grace and true understanding. I recommend his teachings of the highest order.

~ Saul David Raye, Yogi, healer, musician & activist

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David's work is authentic and effective; his ability to go to the core and guide awareness to unconscious areas of contraction is quite powerful. He is truly a healer.

~Kathy freston, Author

"Quantum Wellness"

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I have experienced Dr. Steinberg's work on multiple occasions. A session with him is like pressing a reset button on your mind, body, and spirit. I highly recommend him as a healer and as a psychotherapist.
~Andrew Weil, MD (Pioneer in integrative medicine)

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Self-Reporting Anxiety Test

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