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How “Life Affecting” Is Your Anxiety?
TAKES LESS THAN 5 MINUTES
Take the Questionnaire Below to Find Out:
Do you struggle with panic attacks?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Does Anxiety Affect Your Day To Day Life?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you worry about everything, all the time, big and small things?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you struggle with fears?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you have negative thoughts often?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you struggle with irrational thoughts and behaviors?
(I had to sleep sitting up in bed and my husband could not fall asleep before me
because I believed I was going to die - every night)
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you feel overwhelmed on a regular basis?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you live with “What If’s”?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you get heart palpitations?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Are you over-concerned for family?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you prefer to stay home or go out with friends?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you worry about being in a crowd because of energy?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you fear driving or other things with your anxiety?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Is your anxiety affecting your relationships?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Have your lost confidence, empowerment because of your anxiety?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you struggle with guilt because of your anxiety?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you worry about being in a crowd because of feeling awkward, worrying about what you are going to say?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
Do you turn down things to do with friends/schools/others because of anxiety?
ON A SCALE OF 1-10 - (10 IS WORST OF YOUR ANXIETY SYMPTOMS)
What symptoms hold you back the most if not listed here:
How do you want to feel?
What Would You Be Able to Accomplish If You Were Able to Relieve Your Anxiety Once and For All?
How Important is it to you to Relieve Your Anxiety And get back to yourself Once and For All?
Please Fill Out Information Below so You Can Receive Your Results.
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Amy D. Cohen | Courses@AmyDcohen.com | 732 895 0494
Address: Round Lake Beach, Illinois
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only. It is not intended as a substitute for the advice provided by your healthcare professional or physician.