Anxious Mood Survey

Anxious Mood Survey

Mood is a conscious state of mind, cognitive thought or predominant emotion, feeling or attitude predisposing to actions and observable behaviors. Moods last hours to days, whereas emotions last seconds to minutes. Anxiety can influence both moods and emotions.
No personal identification or computer/tablet/cellphone provider data is collected during this survey in order to insure confidentiality and complete anonymity. All surveys are based on research and psychometric factors and are for learning and educational purposes only. They are not clinical or diagnostic instruments.
Age*
Gender*
1. Being quick to startle*

Most of the timeFrequentlySometimesNot at all
2. Feeling Nervous*

Most of the timeFrequentlySometimesNot at all
3. Worrying and fretting*

Most of the timeFrequentlySometimesNot at all
4. Trembling, twitching, feeling shaky*

Most of the timeFrequentlySometimesNot at all
5. Muscle tension, aches and soreness*

Most of the timeFrequentlySometimesNot at all
6. Restlessness*

Most of the timeFrequentlySometimesNot at all
7. Easily tired*

Most of the timeFrequentlySometimesNot at all
8. Shortness of breath*

Most of the timeFrequentlySometimesNot at all
9. Rapid heartbeat*

Most of the timeFrequentlySometimesNot at all
10. Sweating not due to the heat*

Most of the timeFrequentlySometimesNot at all
11. Dry mouth*

Most of the timeFrequentlySometimesNot at all
12. Dizziness or light-headedness*

Most of the timeFrequentlySometimesNot at all
13. Nausea, diarrhea or upset stomach problems*

Most of the timeFrequentlySometimesNot at all
14. Increase in urge to urinate*

Most of the timeFrequentlySometimesNot at all
15. Hot flashes or chills*

Most of the timeFrequentlySometimesNot at all
16. Feeling keyed up or on the edge*

Most of the timeFrequentlySometimesNot at all
17. Trouble falling asleep or staying asleep*

Most of the timeFrequentlySometimesNot at all
18. Difficulty concentrating*

Most of the timeFrequentlySometimesNot at all
19. Avoiding places and people where I might be anxious*

Most of the timeFrequentlySometimesNot at all
20. Thinking that something terrible will happen*

Most of the timeFrequentlySometimesNot at all
Calculation
user_id
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