Nijmegen Questionnaire Test

Understand whether symptoms suggest hyperventilation beyond everyday discomfort in about 3 minutes. Answer 16 quick items to flag when breathing issues may need further evaluation.
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Questions163 minutes
Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.
08:30
October 2, 2025
October 2, 2025
Material has been updated
27,195 views
3,117 completions
2,645 likes
Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
35/64
Total Score (TS)
This scale sums symptom frequency to indicate the likelihood of hyperventilation-related ventilation dysregulation.
Low likelihood
High likelihood
022Low likelihood2364High likelihood
A total score of 35 falls in the High likelihood range, indicating a higher probability of hyperventilation syndrome compared with scores at or below 22.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Unexplained breathlessness symptoms
41%OF USERS
People who often feel short of breath, dizzy, tight-chested, or tingling and want to see if hyperventilation could be involved.
Anxiety and panic sufferers
34%OF USERS
People with anxiety or panic-like episodes who want to check whether their physical symptoms may be linked to breathing pattern imbalance.
Clinician screening and follow-up
25%OF USERS
Patients taking the questionnaire as part of a medical or research visit to quickly screen ventilation dysregulation and track changes over time.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
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Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Total score (Ts)
Average
32.9
Normal range
23.941.8
min.
0
max.
64
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire measure?
It screens for symptoms commonly associated with overbreathing and ventilation imbalance. It does not provide a diagnosis.
How long does it take and how many items are included?
Completion typically takes about 3 minutes. It includes 16 items.
What types of symptoms are covered?
Items cover physical sensations linked to breathing dysregulation, such as dizziness, shortness of breath, and tingling or numbness. Symptoms are rated by frequency.
How should responses be selected?
Select the option that best reflects how often each symptom has occurred recently. Use the first response that seems accurate and avoid overthinking.
How should results be interpreted and used?
Higher scores indicate a greater likelihood of clinically relevant hyperventilation-related symptoms. Results should be considered alongside clinical evaluation and other findings.
WHAT THE TEST MEASURES
About This Assessment
Nijmegen Questionnaire for HVS Test

Nijmegen Questionnaire Test - Symptoms and Signs

This brief self-report measure screens for symptoms commonly associated with dysregulated breathing patterns. The Nijmegen Questionnaire is used to quantify the frequency of physical sensations that may co-occur with hyperventilation-related complaints.

It consists of 16 items and typically takes about 3 minutes to complete. Respondents rate how often they experience a range of somatic symptoms (e.g., dizziness, shortness of breath, tingling), supporting initial triage and helping determine whether further clinical assessment of breathing-related symptoms may be warranted.

The Nijmegen Questionnaire was developed by Jan Duivenvoorden and David H. Van Dixhoorn and is intended for screening and monitoring purposes rather than stand-alone diagnosis.

Author: David H. Van Dixhoorn, Jan Duivenvoorden
Literature: Barlow, D. H. Anxiety and its disorders: The nature and treatment of anxiety and panic. Guilford Press. 2002.; van Doorn, P., Colla, P., & Folgering, H. Een vragenlijst voor hyperventilatieklachten. De Psycholoog. 1983.
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