You may do this questionnaire in complete confidence: scores or information that might identify you are not collected!

Please answer all questions for a vaild answer. Concentrating on the recent past, select your response from the drop-down lists. Do not dwell on the questions - your initial response is usually the best.

I feel tense or wound up

--- select one --- Most of the time A lot of the time From time to time Not at all

I still enjoy the things I used to enjoy

--- select one --- Definitely as much Not quite so much Only a little Hardly at all

I get a sort of frightened feeling as if something awful is about to happen

--- select one --- Very definitely and quite badly Yes, but not too badly A little, but it doesn't worry me Not at all

I can laugh and see the funny side of things

--- select one --- As much as I always could Not quite as much now Definitely not so much now Not at all

Worrying thoughts go through my mind

--- select one --- A great deal of the time A lot of the time From time to time but not too often Only occasionally

I feel cheerful

--- select one --- Not at all Not often Sometimes Most of the time

I can sit at ease and feel relaxed

--- select one --- Definitely Usually Not often Not at all

I feel as if I am slowed down

--- select one --- Nearly all the time Very often Sometimes Not at all

I get a sort of frightened feeling like butterflies in the stomach

--- select one --- Not at all Occasionally Quite often Very often

I have lost interest in my appearance

--- select one --- Definitely I don't take so much care as I should I may not take quite as much care I take just as much care as ever

I feel restless as if I have to be on the move

--- select one --- Very much indeed Quite a lot Not very much Not at all

I look forward with enjoyment to things

--- select one --- As much as I ever did Rather less than I used to Definitely less than I used to Hardly at all

I get sudden feelings of panic

--- select one --- Very often indeed Quite often Not very often Not at all

I can enjoy a good book or radio or TV programme

--- select one --- Often Sometimes Not often Very seldom