Patient Health Questionnaire (PHQ) Panic Screening Questions

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Instructions

READ CAREFULLY

Read each statement and decide whether you agree or disagree with it by choosing: "Yes" or "No".

Read all statements carefully and answer them.

Take the work seriously and carefully, as negligence and the desire to distort the result leads to unreliable research

After completing the questionnaire, click on the Process button.

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Test

1. Questions about anxiety.

a) In the last 4 weeks, have you had an anxiety attack ⎯ suddenly feeling fear or panic?

  Yes

  No
(If you checked “NO,” you do not need to answer b, c, d or 2)

b) Has this ever happened before?

  Yes

  No

c) Do some of these attacks come suddenly out of the blue ⎯ that is, in situations where you don’t expect to be nervous or uncomfortable?

  Yes

  No

d Do these attacks bother you a lot or are you worried about having another attack?

  Yes

  No

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2. Think about your last bad anxiety attack.

a) Were you short of breath?

  Yes

  No

b) Did your heart race, pound, or skip?

  Yes

  No

c) Did you have chest pain or pressure?и

  Yes

  No

d) Did you sweat?

  Yes

  No

e) Did you feel as if you were choking?

  Yes

  No

f) Did you have hot flashes or chills?

  Yes

  No

g) Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea?

  Yes

  No

h) Did you feel dizzy, unsteady, or faint?

  Yes

  No

i) Did you have tingling or numbness in parts of your body?

  Yes

  No

j) Did you tremble or shake?

  Yes

  No

k) Were you afraid you were dying?

  Yes

  No

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