Shihan's Anxiety Self-Assessment Scale, SPRAS Test - the question form

1. Difficulty breathing in, shortness of breath, or rapid breathing.

2. Feeling of choking or a lump in the throat.

3. Heart pounding, racing, or feeling as if it might jump out of your chest.

4. Chest pain or an unpleasant feeling of tightness in the chest.

5. Severe sweating ("sweating profusely").

6. Weakness, faintness spells, dizziness.

7. Heavy or “not my own” legs.

8. Feeling unsteady or off balance.

9. Nausea or stomach discomfort.

10. Feeling that your surroundings seem strange, unreal, hazy, or detached.

11. Feeling that things are unreal or that you are outside your body.

12. Tingling or numbness in different parts of the body.

13. Hot flushes or chills.

14. Trembling (tremor).

15. Fear of death or that something terrible might happen.

16. Fear of going crazy or losing control.

17. Sudden anxiety attacks accompanied by three or more of the symptoms listed above (e.g., trembling, fear of dying, fear of losing your mind), occurring immediately before and when you enter a situation that you know from experience may trigger an attack.

18. Sudden, unexpected anxiety attacks accompanied by three or more of the symptoms listed above (e.g., trembling, fear of dying, fear of going crazy), occurring with little or no provocation (i.e., when you are not in a situation that you know from experience can trigger an attack).

19. Sudden, unexpected attacks with only one or two of the symptoms listed above (e.g., trembling, fear of dying, fear of "going crazy"), occurring in response to minor triggers or for no apparent reason (i.e., when you are not in a situation that you would expect could bring on an attack).

20. Episodes of anxiety that increase as you prepare to do something that, in your experience, may trigger anxiety—more intense than most people feel in such situations.

21. Avoiding situations that frighten you.

22. Dependence on other people.

23. Feeling tense and unable to relax.

24. Anxiety, nervousness, or feeling uneasy.

25. Episodes of increased sensitivity to sound, light, and touch.

26. Diarrhea attacks.

27. Excessive worry about your own health.

28. Feeling tired, weak, or easily fatigued.

29. Headaches or neck pain.

30. Difficulty falling asleep.

31. Waking during the night or restless sleep.

32. Sudden periods of depressed mood occurring with little or no apparent reason.

33. Mood and emotional swings that mainly depend on what is happening around you.

34. Recurrent and persistent thoughts, urges, impulses, or images that you experience as distressing, unpleasant, senseless, or repulsive.

35. Repetitive ritual-like behaviors (e.g., repeated checking, repeated washing, or counting) when there is no real need to do so.