quiz test - PsycheTel Australia

Please answer each question based on how you have been feeling over the past 2 weeks. Select the answer that best describes your experience.

Step 1

1 of 5. Over the past 2 weeks, how often have you felt nervous, anxious or on edge?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

2 of 5. How often have you found it difficult to control your worries?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

3 of 5. How often have you worried about several different things at the same time?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

4 of 5. How often have you found it difficult to relax?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

5 of 5. How often have you felt restless or found it hard to sit still?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

Step 2

1 of 5. How often have you felt more irritable than usual?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

2 of 5. How often have you worried that something bad might happen?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

3 of 5. How often has worrying made it difficult to focus on what you need to do?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

4 of 5. How often have you avoided situations because they made you feel anxious?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

5 of 5. How often have you noticed physical signs of anxiety, such as a racing heart, tense muscles or feeling shaky?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

Step 3

1 of 5. How often has anxiety affected your sleep?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

2 of 5. How often have you found yourself thinking about the same worry again and again?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

3 of 5. How often has anxiety made everyday tasks feel harder than usual?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

4 of 5. How often have you felt overwhelmed by things that you normally manage?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

5 of 5. How often have your worries affected your work, study, relationships or daily activities?

Not at all

Several days

More than half the days

Nearly every day

Please select an answer.

Step 4: Your Details

Please provide your details so we can process your questionnaire submission.

Name *

Please enter your name.

Email *

Please enter a valid email address.

Phone *

Please enter your phone number.

✓

Thank You!

Your questionnaire has been submitted successfully. We have received your responses.

1300 652 935

Anxiety Questionnaire

Step 1

Step 2

Step 3

Step 4: Your Details

Thank You!