II. Questions: General (Answer Yes or No for each)
- In the last 4 weeks have you had an anxiety attack with sudden fear or panic?
- Has this ever happened before?
- Do some of these attacks come suddenly, out of the blue, in situations where you do not expect nervousness?
- Do these attacks bother you a lot or are you worried about haveing another attack?
III. Questions: Have you had these symptoms during your last bad anxiety episode (Answer Yes or No for each)
- Shortness of Breath?
- Heart racing, pounding, or skipping?
- Chest Pain or pressure?
- Sweating?
- Feeling as if you are Choking?
- Hot Flashes or chills?
- Nausea, upset Stomach or feeling that you were going to have Diarrhea?
- Dizzy, unsteady or faint?
- Tingling or numbness in parts of your body?
- Tremble or shake?
- Were you afraid of dying?