LEVEL 2—Anxiety—Adult Name*Age*Sex:* Male Female Date* MM slash DD slash YYYY If the measure is being completed by an informant, what is your relationship with the individual?In a typical week, approximately how many hours do you spend with the individual?Input the number that fits you best. (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always In the past seven (7) days..I Felt Fearful (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.I Felt Anxious (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.I Felt Worried (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.I found it hard to focus on anything other than my anxiety (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.I felt nervous (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.I felt uneasy (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.I felt tense (1) Never, (2) Rarely, (3) Sometimes, (4) Often, (5) Always*Please enter a number from 1 to 5.This field is hidden when viewing the formScore
