| Qu | Symptoms | Rating (0 - 100) |
| C1 | Palpitations, pounding heart, or accelerated heart rate | |
| C2 | Sweating | |
| C3 | Trembling or shaking | |
| C4 | Sensations of shortness of breath or smothering | |
| C5 | Feeling of choking | |
| C6 | Chest pain or discomfort | |
| C7 | Nausea or abdominal distress | |
| C8 | Feeling dizzy, unsteady, lightheaded, or faint | |
| C9 | Derealisation (feelings of unreality) or depersonalisation (being detached from oneself) | |
| C10 | Fear of losing control or going crazy | |
| C11 | Fear of dying | |
| C12 | Paraesthesias (numbness or tingling sensations) | |
| C13 | Chills or hot flushes |