Yes No


2. Were you afraid that you might have more of these attacks?

Yes No


3. Were you worried that these attacks could mean you were losing control, having a heart attack, or going "crazy"?

Yes No


4. Did you have unexplained heart palpitations, a racing heart, or shortness of breath for no appearent reason?

Yes No


5. Have you been afraid of not being able to get help or not being able to escape in certain situations, like being on a bridge in a crowded store or in a similar circumstances?

Yes No


6. Have you been afraid or unable to travel alone without a companion or friend?

Yes No


7. Have you persistently worried about several different things such as work, school, family, money, and others?

Yes No


8. Did you find it difficult to control your worrying?

Yes No


9. Did your persistent worrying or nervousness cause problems at work or in your dealings with other people?

Yes No


10. Did you have persistent, senseless thoughts you could not get out of your head, such as thoughts of death, illnesses, aggression, sexual urges, or others?

Yes No


11. Did you spend more time than is necessary doing things over and over again such as washing your hands, checking things or counting things?

Yes No


12. Did you spend more than one hour a day either involved in your senseless thoughts or your needless checking, washing or counting?

Yes No


13. Were you afraid to do things in front of people such as public speaking, eating, performing, or other activities?

Yes No


14. Did you either avoid or feel very uncomfortable in situations involving people, such as parties, weddings, dating, dances and other social events?

Yes No


15. Have you ever had an extremely frightening, traumatic or horrible experience like being the victim of a violent crime, seriously injured in an accident, sexually assaulted, saw someone seriously injured or killed, or been the victim of a natural disaster?

Yes No


16. Did you relive the traumatic experience through dreams, preoccupations, or flashbacks?

Yes No


17. Did you seem less interested in important things, or unable to experience or express emotions?

Yes No


18. Did you have problems sleeping, concentrating or having a short temper?

Yes No


19. Did you avoid any place or anything that reminded you of the original horrible event?

Yes No


20. Did you have some of the above problems for more than one month?

Yes No


21. During the past month, have you: