1. Anxious moodWorries, anticipation of the worst, fearful anticipation, irritability.Not presentMildModerateSevereVery Severe

2. TensionFeelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.Not presentMildModerateSevereVery Severe

3. FearsOf dark, of strangers, of being left alone, of animals, of traffic, of crowds.Not presentMildModerateSevereVery Severe

4. InsomniaDifficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.Not presentMildModerateSevereVery Severe

5. IntellectualDifficulty in concentration, poor memory.Not presentMildModerateSevereVery Severe

6. Depressed moodLoss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.Not presentMildModerateSevereVery Severe

7. Somatic (muscular)Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.Not presentMildModerateSevereVery Severe

8. Somatic (sensory)Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.Not presentMildModerateSevereVery Severe

9. Cardiovascular symptomsTachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.Not presentMildModerateSevereVery Severe

10. Respiratory symptomsPressure or constriction in chest, choking feelings, sighing, dyspnea.Not presentMildModerateSevereVery Severe

11. Gastrointestinal symptomsDifficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation. Not presentMildModerateSevereVery Severe

12. Genitourinary symptomsFrequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.Not presentMildModerateSevereVery Severe

13. Autonomic symptomsDry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.Not presentMildModerateSevereVery Severe

14. Behavior at interviewFidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.Not presentMildModerateSevereVery Severe