1 of 10. How often have you experienced significant stress or anxiety about your health in the past year?
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A. Almost daily
B. Several times a week
C. Occasionally
D. Rarely
2 of 10. On a scale of 1 to 10, how much stress do you typically feel when you’re experiencing an AFib episode? (1 being minimal stress, 10 being extremely high stress)
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8-10 (high stress)
4-7 (medium stress)
1-3 (low stress)
3 of 10. How frequently do you feel physical symptoms of stress (like tension, rapid breathing, or stomach upset) when thinking about your health or AFib?
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A. Often
B. 50% of the time
C. 20% of the time
D. Rarely
4 of 10. In the past six months, how many times have you felt overwhelmed or unable to manage your stress levels?
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A. More than 10 times
B. Between 5-10 times
C. Less than 5 times
D. Not at all
5 of 10. Have you ever noticed that high-stress situations trigger or worsen your AFib symptoms?
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A. Yes, frequently
B. Yes, occasionally
C. I’m not sure
D. No, I haven’t noticed a connection
6 of 10. How often do you find yourself worrying about your heart health or a potential AFib episode?
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A. Daily
B. A few times a week
C. A few times a month
D. Rarely or never
7 of 10. When you experience stress, how would you describe its intensity?
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A. Severe, overwhelming stress
B. Strong, but manageable
C. Moderate
D. Mild or minimal
8 of 10. How many times in the past month have you felt your heart rate increase during stressful situations?
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A. 5 or more times
B. Between 2-5 times
C. Less than 1 time
D. Not at all
9 of 10. Reflecting on the past, how would you rate your general stress level before you began experiencing AFib symptoms?
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A. High
B. Moderate
C. Low
D. None
10 of 10. How often do you actively take steps to reduce or manage your stress levels (e.g., relaxation techniques, exercise, or meditation)?
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A. Rarely or Never
B. Occasionally
C. A few times a week
D. Daily
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