D | A |
| D | A | |
|
| I feel tense or “wound up”: |
| I feel as if I am slowed down: | |
| 3 | Most of the time | 3 |
| Nearly all the time |
| 2 | A lot of the time | 2 |
| Very often |
| 1 | From time to time, occasionally | 1 |
| Sometimes |
| 0 | Not at all | 0 |
| Not at all |
|
| I still enjoy the things I used to enjoy: |
| I get a sort of frightened feeling like “butterflies” in the stomach: | |
0 |
| Definitely as much |
| 0 | Not at all |
1 |
| Not quite so much |
| 1 | Occasionally |
2 |
| Only a little |
| 2 | Quite Often |
3 |
| Hardly at all |
| 3 | Very Often |
|
| I get a sort of frightened feeling as if something awful is about to happen: |
| I have lost interest in my appearance: | |
| 3 | Very definitely and quite badly | 3 |
| Definitely |
| 2 | Yes, but not too badly | 2 |
| I don’t take as much care as I should |
| 1 | A little, but it doesn’t worry me | 1 |
| I may not take quite as much care |
| 0 | Not at all | 0 |
| I take just as much care as ever |
|
| I can laugh and see the funny side of things: |
|
| I feel restless as I have to be on the move: |
0 |
| As much as I always could |
| 3 | Very much indeed |
1 |
| Not quite so much now |
| 2 | Quite a lot |
2 |
| Definitely not so much now |
| 1 | Not very much |
3 |
| Not at all |
| 0 | Not at all |
|
| Worrying thoughts go through my mind: |
| I look forward with enjoyment to things: | |
| 3 | A great deal of the time | 0 |
| As much as I ever did |
| 2 | A lot of the time | 1 |
| Rather less than I used to |
| 1 | From time to time, but not too often | 2 |
| Definitely less than I used to |
| 0 | Only occasionally | 3 |
| Hardly at all |
|
| I feel cheerful: |
| I get sudden feelings of panic: | |
3 |
| Not at all |
| 3 | Very often indeed |
2 |
| Not often |
| 2 | Quite often |
1 |
| Sometimes |
| 1 | Not very often |
0 |
| Most of the time |
| 0 | Not at all |
|
| I can sit at ease and feel relaxed: |
| I can enjoy a good book, radio or TV program: | |
| 0 | Definitely | 0 |
| Often |
| 1 | Usually | 1 |
| Sometimes |
| 2 | Not Often | 2 |
| Not often |
| 3 | Not at all | 3 |
| Very seldom |