Anxiety measure

BAI (Beck Anxiety Inventory)

Name*

Date*

Your email*

PLEASE READ THE FOLLOWING STATEMENT ABOUT HOW YOUR BAI RESULTS MAY BE USED FOR RESEARCH PURPOSES

* I agree that the anonymous results of my BAI may be included in future research of the Tinnitus E-Programme, by Debbie Featherstone and NIHR NHBRC (National Institute of Hearing Research, Nottingham Biomedical Research Centre) and that my personal data is NOT for publication.

If you CAN agree, you will be helping with research of outcomes for the Tinnitus E-Programme

Please choose your answer from the dropdown menu:*

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by each symptom during the PAST WEEK, INCLUDING TODAY, by choosing your answer from the dropdown menu

1. Numbness or tingling*

2. Feeling hot*

3. Wobbliness in legs*

4. Unable to relax*

5. Fear of the worst happening*

6. Dizziness or lightheaded*

7. Heart pounding or racing *

8. Unsteady*

9. Terrified*

10. Nervous*

11. Feelings of choking*

12. Hands trembling*

13. Shaky*

14. Fear of losing control*

15. Difficulty breathing*

16. Fear of dying*

17. Scared*

18. Indigestion or discomfort in the abdomen*

19. Faint*

20. Face flushed*

21. Sweating (not due to heat)*

THANK YOU for completing the BAI.

Now, review your answers in case you want to make any changes, then press SEND

You will receive a copy of your answers in an email by return