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Question of
I get headaches and neck pain several times a week.
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Yes
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No
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-
Question of
I think about my actions.
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No, Never
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False
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-
Question of
I obsess over something I may have said wrong to someone.
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Yes
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No
-
-
Question of
I am irritable.
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Yes
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No
-
-
Question of
I don’t have to use the restroom that often.
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Yes
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No
-
-
Question of
I think of all the things I have not yet accomplished.
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Yes
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No
-
-
Question of
I worry about my health.
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Yes
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No
-
-
Question of
I never think about death or dying.
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Yes
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No
-
-
Question of
I feel good about myself.
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Yes
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No
-
-
Question of
I always think about my problems.
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Yes
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No
-
-
Question of
I have a positive outlook on the future.
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Yes
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No
-
-
Question of
I experience the feeling of choking and shortness of breath.
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Yes
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No
-
-
Question of
Sometimes I feel like I am choking.
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Yes
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No
-
-
Question of
I recently have stopped doing activities or hobbies that I once enjoyed.
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Yes
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No
-
-
Question of
I get numb or tingling feelings in my hands and feet.
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Yes
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No
-
-
Question of
I feel like I have a lump in my throat.
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Yes
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No
-
-
Question of
I never have difficulty swallowing.
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Yes
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No
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-
Question of
I have heart palpitations and a fast heart beat.
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Yes
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No
-
-
Question of
I have a hard time sleeping at night.
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Yes
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No
-
-
Question of
When someone is mad at me I usually spend the rest of the day thinking about it.
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Yes
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No
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-
Question of
I am able to relax.
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Yes
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No
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-
Question of
I feel fear for no reason.
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Yes
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No
-
-
Question of
My muscles are always tense especially my shoulders.
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Yes
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No
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-
Question of
I feel dizzy-light headed.
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Yes
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No
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-
Question of
The world is a scary place.
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Yes
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No
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