Anxiety Questionnaire

Answer this questionnaire based on how you’ve been feeling the past two weeks.

1. How often have you felt nervous, anxious, or on edge?
  • Not at all
  • Several days
  • Nearly every day

2. How often have you felt unable to stop or control worrying?
  • Not at all
  • Several days
  • Nearly every day

3. How often have you had trouble relaxing?
  • Not at all
  • Several days
  • Nearly every day

4. How often have you become easily annoyed or irritable?
  • Not at all
  • Several days
  • Nearly every day

5. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
  • Not difficult at all
  • Somewhat difficult
  • Very difficult





Based on your results you may be suffering from

Don't worry, whatever your score we can help you grow stronger and more equipped to handle life's challenges. Request an appointment below and our team will follow up with you to see how we can help. You can also call our office directly at (501) 499-8699. We look forward to serving you

Request an Appointment