Skip survey header

Hamilton Anxiety Scale v2

Hamilton Anxiety Rating Scale

Below is a list of phrases that describe certain feeling that people have. Rate the patients by finding the answer which best describes the extent to which you have these conditions. Select one of the five responses for each of the fourteen questions.
This question requires a valid date format of MM/DD/YYYY.
calendar
Who is it who has asked you to fill out this form? - choose one
1. AnxietyWorries, anticipation of the worst, fearful anticipation, "trapped," irritability.
2. TensionFeelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.
3. FearsOf dark, of strangers, of being left alone, of animals, of traffic, of crowds.
4. InsomniaDifficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.
5. IntellectualDifficulty in concentration, poor memory.
6. DepressedLoss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.
7. Somatic (muscular)Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.
8. Somatic (sensory)Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.
9. CardiovascularTachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.
10. RespiratoryPressure or constriction in chest, choking feelings, sighing, dyspnea.
11. Gastrointestinal SymptomsDifficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.
12. Geintourinary SymptomsFrequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.
13. Autonomic SymptomsDry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.
14. Behavior at InterviewFidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.