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Panic Attacks Quiz

Here are some questions about your health. Check either YES or NO to indicate your answer.

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Question 1 of 4

Have you experienced panic, high anxiety, and symptoms from that anxiety in the past month?

A

Yes

B

No

Question 2 of 4

Have you felt worried or anxious about having another panic attack or high anxiety episode?

A

Yes

B

No

Question 3 of 4

Below are symptoms experienced during a high anxiety attack or during panic. Please check off any symptoms that you have experienced during a recent high anxiety episode:

(Select all that apply)
A

Palpitations, pounding heart, or accelerated heart rate

B

Chest pain or discomfort

C

Trembling or shaking

D

Dry mouth

E

Sensations of shortness of breath or smothering

F

A feeling of choking or a lump in the throat

G

Rapid breathing or hyperventilating

H

Nausea or abdominal distress (churning in stomach)

I

Feeling dizzy, unsteady, lightheaded or faint

J

Feelings of unreality (derealization) or being detached from oneself (depersonalization)

K

Fear of losing control or going crazy

L

Numbness or tingling sensations

M

Chills, hot flushes

N

Sweating

O

Feelings of dread or fear of dying

Question 4 of 4

Does your fear of having your high anxiety or panic symptoms interfere with your ability to work, do your school work, or carry out your responsibilities at home?

A

Yes

B

No

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