Sheehan Anxiety Self-Rating Scale (SPRAS) Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
- Not at all
- A little
- Moderately
- Quite a lot
- Extremely
- Not at all
- A little
- Moderately
- Quite a lot
- Extremely
Sheehan Anxiety Self-Rating Scale (SPRAS) Test - Description and methodology of the test
Readers who want to examine recurring anxiety symptoms may use the Sheehan Anxiety Self-Rating Scale (SPRAS) Test as a structured starting point. It considers bodily alarm, fear, avoidance, worry, sleep, and related experiences rather than treating one symptom in isolation. The questionnaire offers an anxiety assessment that can help people organize what they have noticed and choose useful questions for a conversation about their wellbeing.
What This Assessment Explores
The questions span physical arousal, emotional alarm, thinking patterns, and behavior. They address breathing changes, racing heart, sweating, dizziness, nausea, tingling, trembling, unreality, fear of catastrophe, fear of losing control, panic-like episodes, anticipatory anxiety, avoidance, dependence, health worry, fatigue, headaches, sleep disruption, mood shifts, intrusive thoughts, and repetitive rituals. The result summarizes the intensity of anxiety-related experiences rather than one isolated symptom.
For an anxiety self-assessment, this questionnaire is most useful when the respondent answers about their own experience honestly and consistently. Results use one overall scale. The Sheehan Anxiety Scale spans 0-140, with these displayed bands:
- Low/normal (0-19) indicates a result in the range associated with ordinary anxiety levels.
- Moderate (20-79) indicates elevated anxiety symptoms that may merit closer reflection.
- High (80-140) indicates marked anxiety symptoms and a stronger reason to seek broader understanding of their pattern.
Methodology and Scientific Basis
Each item uses five response levels, from Not at all to Extremely. The questions cover physical sensations, emotional alarm, anticipated or unexpected attacks, avoidance, dependence, health worry, sleep, mood, and obsessional experiences. Respondents rate how strongly each experience applies to them.
The closest named source is the SPRAS instrument. The online questionnaire is conceptually consistent with that instrument, is not a documented formal adaptation, and has no independent standardization.
The 1983 Sheehan study establishes the instrument’s clinical context for anxiety and panic assessment. The 1988 panic-disorder medication study shows its use in treatment research, while Davis, Ross, and MacDonald’s 2002 study concerns anxiety screening in asthma care; none validates this online version.
This anxiety symptom scale relies on honest self-report and self-awareness. It does not specify how the five responses become the displayed total, so interpret the result as a descriptive severity estimate without inferring another scoring rule. Results are screening-oriented signals, not diagnostic findings; repeated administrations under comparable conditions may help track change alongside personal history and daily functioning.
- Sheehan, D. V. (1983). Sheehan Anxiety and Panic Attack Scales. Kalamazoo, MI: The Upjohn Company.
- Sheehan, D. V. (1983). The Anxiety Disease. New York: Charles Scribner's Sons.
- Sheehan, D. V., Raj, A. B., Sheehan, K. H., & Soto, S. (1988). The relative efficacy of buspirone, imipramine and placebo in panic disorder: A preliminary report. Pharmacology Biochemistry and Behavior, 29(4), 815-817. 10.1016/0091-3057(88)90214-6
- Davis, T. M. A., Ross, C. J., & MacDonald, G. F. (2002). Screening and assessing adult asthmatics for anxiety disorders. Clinical Nursing Research, 11(2), 173-189. 10.1177/105477380201100206
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