Beck Anxiety Inventory (BAI)

Fields marked with an * are required

Beck Anxiety Inventory (BAI)

Below is a list of common symptoms of anxiety. Please read each item carefully as you answer the questions. Indicate how much you have been bothered by each symptom during the past 30 days, including today, by selecting the corresponding answer in each drop down list.

First Name *

Last Name *

Numbness or tingling *

Feeling hot *

Wobbliness in legs *

Feeling unable to relax *

Fear of the worst happening *

Feeling dizzy or lightheaded *

Feeling like your heart is pounding or racing *

Feeling unsteady *

Feeling terrified or afraid *

Feeling nervous *

Feeling like you are choking *

Feeling like your hands are trembling *

Feeling shaky or unsteady *

Fear of losing control *

Feeling difficulty in breathing *

Fear of dying *

Feeling scared *

Indigestion *

Feeling faint or lightheaded *

Feeling like your face is flushed *

Experiencing hot or cold sweats *

INTERPRETING THE BECK ANXIETY INVENTORY (BAI)

INTERPRETING THE BECK ANXIETY INVENTORY (BAI)

Now that you have completed the questionnaire, the total score should automatically calculate in the space below labeled "Total". The highest possible total for the whole test would be sixty-three. This would mean you circled number three on all twenty-one questions. Since the lowest possible score for each question is zero, the lowest possible score for the test would be zero. This would mean you circles zero on each question. You can evaluate your anxiety according to the table below.

Levels of Anxiety

0-7 = Minimal 8-15 = Mild 16-25 = Moderate 26< = Severe

Neurophysiological Symptom Category Total

NEUROPHYSIOLOGICAL SYMPTOM CATEGORY TOTAL: 0

Please confirm your TOTAL NEUROPHYSIOLOGICAL SYMPTOM CATEGORY score from above by typing it in the box below *

Subjective Symptom Category Total

SUBJECTIVE SYMPTOM CATEGORY TOTAL: 0

Please confirm your TOTAL SUBJECTIVE SYMPTOM CATEGORY score from above by typing it in the box below *

Panic Symptom Category Total

PANIC SYMPTOM CATEGORY TOTAL: 0

Please confirm your TOTAL PANIC SYMPTOM CATEGORY score from above by typing it in the box below *

Autonomic Symptom Category Total

AUTONOMIC SYMPTOM CATEGORY TOTAL: 0

Please confirm your TOTAL AUTONOMIC SYMPTOM CATEGORY score from above by typing it in the box below *

Total:

TOTAL: 0

Please confirm your TOTAL score by typing it in the box below: *

Call: (402) 434-2730 or (402) GET-HELP

Call: (402) 434-2730 or (402) GET-HELP

Beck Anxiety Inventory (BAI)