Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. The Crushing Anxiety Questionnaire Question Title * 1. Please indicate your gender. You may use any pronoun to identify yourself. OK Question Title * 2. Were you an anxious or nervous child (up until the age of 18 years old)? Yes No OK Question Title * 3. Do you believe that there is a Genetic component to your Anxiety? Specifically, are there other family members that also suffer from this or any other emotional issues? Please elaborate, if so. OK Question Title * 4. If YES, was their a trigger, an event, a trauma, a crisis or any reason that you can point to as to why you started suffering from anxiety? OK Question Title * 5. If your anxiety started after 18, than what age did it begin? OK Question Title * 6. Was there a specific event, trauma or crisis that triggered your first panic attack? If YES, please feel free to share that experience, under OTHER. Yes No Other (please specify) OK Question Title * 7. Please list the specific anxiety disorder(s) that you have been diagnosed with. OK Question Title * 8. Do you currently suffer from panic attacks? Yes No OK Question Title * 9. If yes, than how often do they occur? OK Question Title * 10. Are you currently on anti-anxiety medication? Yes No Other (please specify) OK Question Title * 11. If YES, please indicate which ones. OK Question Title * 12. If NO, than have you ever been on anti-anxiety meds? Please indicate which meds. OK Question Title * 13. When you experience your anxiety, please explain how it makes you feel, physically and mentally. OK Question Title * 14. How long does the anxiety last for? Hours, days, weeks, months? Please elaborate where possible. OK Question Title * 15. Do you also suffer from depression? Yes No OK Question Title * 16. If you suffer from both, which would you say affects you worse, and please explain why? OK Question Title * 17. Do you have substance abuse habits? If YES, please indicate whether it is drugs or alcohol and how often. OK Question Title * 18. If YES, would you say that your substance abuse habits are tied to your anxiety (ie. you "use" to numb the pain) or is your substance abuse completely separate? OK Question Title * 19. Are you currently in a relationship? Yes No Please elaborate here, if it's neither yes or no. OK Question Title * 20. Do you struggle with maintaining healthy relationships? If YES, please explain why? OK Question Title * 21. Have you ever been in Behavioural Modification therapy for your Anxiety? These are treatment methods that teach you how to cope with and manage your anxiety. (This does not include taking medication.) Yes No Other (please specify) OK Question Title * 22. If YES, which behavioural & cognitive treatment methods have worked for you and which ones have not? OK Question Title * 23. If you have never tried behavioural modification therapy, is there a reason why not? OK Question Title * 24. Do you consider yourself a highly sensitive person who is emotionally affected by other people's actions, opinions, moods and lifestyle? Yes No Other (please specify) OK Question Title * 25. How much time do you spend each day scrolling through social media platforms to see what everyone else is doing? OK Question Title * 26. How does that make you feel, seeing how everyone else is thriving, living their "best" lives and seemingly always happy? OK Question Title * 27. Do you feel truly safe only when you are home and/or alone? Yes No Other (please specify) OK Question Title * 28. Would you say that you live in fear of having another anxiety attack? Yes No Other (please specify) OK Question Title * 29. Do you truly believe that you CAN get better and stop suffering from anxiety, panic attacks and any of the other behaviours that prevent you from living your life worry-free? Yes No OK Question Title * 30. If you are currently on medication, are you willing (with your doctors help) to begin weaning yourself off, in order to live your life without meds, using only behavioural & cognitive methods to deal with your anxious thoughts? If YES, please feel free to elaborate on your concerns or fears. OK Question Title * 31. Final question; In your own words, can you explain the difference between incessant over-worrying and anxiety? OK YOU DID IT. THANK YOU!!