An Anxiety Check In

If you're in crisis right now, please call or text 988 for the Suicide & Crisis Lifeline.

In the last 2 weeks have you been...Feeling nervous, anxious, or on edge *

In the last 2 weeks...not being able to stop or control worrying *

In the last 2 weeks...worrying too much about different things *

In the last 2 weeks...trouble relaxing? *

In the last 2 weeks...being so restless that it is hard to sit still? *

In the last 2 weeks...becoming easily annoyed or irritable? *

In the last 2 weeks...feeling afraid as if something awful might happen? *

Over the past 2 weeks, how often has this been true for you...I felt rushed and pressured *

Over the past 2 weeks, how often has this been true for you...I had a paralyzing fear of specific things (heights, small spaces, spiders, etc.) *

Over the past 2 weeks, how often has this been true for you...I felt a sense of dread or impending doom *

Over the past 2 weeks, how often has this been true for you...I had trouble falling asleep — couldn't turn my mind off *

Over the past 2 weeks, how often has this been true for you...I thought about the same thing over and over (rumination) *

Over the past 2 weeks, how often has this been true for you...I had difficulty concentrating because of obsessive thoughts *

Over the past 2 weeks, how often has this been true for you...I was hypervigilant — always waiting for something to happen *

Over the past 2 weeks, how often has this been true for you...I had shortness of breath or rapid heartbeat *

Over the past 2 weeks, how often has this been true for you...I was afraid to enter a room or interact with people *

Over the past 2 weeks, how often has this been true for you...I didn't want to leave my home *

Over the past 2 weeks, how often has this been true for you...I had trouble making decisions for fear of making the wrong choice *

First Name *

Last Name

Email *