Thorndon

Panic Attack Explorer.

Each of the following statements has a scale beneath it. The numbers correspond to  the following frequency and severity. Please circle the numbers that best  represent your current feelings and general frequency..

For frequency :      1  =  Never

2  =  Occasionally

3  =  More then once a month

4  =  Several times a week

5  =  At least once per day

For level of symptoms:      1  =  None

2  =   Mild

3  =  Moderate

4  =  Severe

5   =  Very severe

1.  Sudden onset of feeling really anxious.

Frequency

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12345

Level

______________________________________________

12345

  2.  Feeling builds over a short period of time..

Frequency

______________________________________________

12345

Level

______________________________________________

12345

3.  Feeling of axniety is very unpleasant..

Frequency

______________________________________________

12345

Level

______________________________________________

12345

4.  I call it panic rather than anxiety.

Frequency

______________________________________________

12345

Level

______________________________________________

12345

5.  During these atacks I feel  Like I'm in danger .

Frequency

______________________________________________

12345

Level

______________________________________________

12345

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