Whole-Person Anxiety Survey What is your first name? Question Title * 1. What is your first name? OK What is your last name initial? Question Title * 2. What is your last name initial? OK Add your email Question Title * 3. Add your email OK What is your gender? Question Title * 4. What is your gender? Female Male Other (specify) OK I get insecure about myself and my abilities Question Title * 5. I get insecure about myself and my abilities Hardly at all Several days Over half the week Nearly everyday OK I am not able to pause or control my worry Question Title * 6. I am not able to pause or control my worry Hardly at all Several days Over half the week Nearly everyday OK I feel afraid something awful is going to happen Question Title * 7. I feel afraid something awful is going to happen Hardly at all Several days Over half the Week Nearly every day OK I cannot stop obsessing about difficult situations Question Title * 8. I cannot stop obsessing about difficult situations Hardly at all Several days Over half the week Nearly everyday OK I feel tense and agitated in my body Question Title * 9. I feel tense and agitated in my body Hardly at all Several days Over half the week Nearly everyday OK I don't sleep well Question Title * 10. I don't sleep well Hardly at all Several days Over half of the week Nearly every day OK I feel physically exhausted from my anxiety Question Title * 11. I feel physically exhausted from my anxiety Hardly at all Several days Over half the week Nearly every day OK I over or under-eat trying to soothe my anxiety Question Title * 12. I over or under-eat trying to soothe my anxiety Hardly at all Several days Over half of the week Nearly every day OK I become easily annoyed Question Title * 13. I become easily annoyed Hardly at all Several days Over half the week Nearly every day OK I feel nervous and on edge Question Title * 14. I feel nervous and on edge Hardly at all Several days Over half the week Nearly every day OK I feel emotionally sensitive and vulnerable Question Title * 15. I feel emotionally sensitive and vulnerable Hardly at all Several days Over half the week Nearly every day OK I feel lonely and alone Question Title * 16. I feel lonely and alone Hardly at all Several days Over half the week Nearly every day OK I don't have a sense of spiritual connection Question Title * 17. I don't have a sense of spiritual connection Hardly at all Several days Over half the week Nearly every day OK I feel a lack of meaning Question Title * 18. I feel a lack of meaning Hardly at all Several days Over half the week Nearly every day OK I don't believe in a power greater than myself Question Title * 19. I don't believe in a power greater than myself Hardly at all Several days Over half the week Nearly every day OK I feel lost and without direction Question Title * 20. I feel lost and without direction Hardly at all Several days Over half the week Nearly every day OK What have I tried to manage my anxiety? Question Title * 21. What have I tried to manage my anxiety? OK How would my life be different if I solved my anxiety Question Title * 22. How would my life be different if I solved my anxiety OK Am I willing to try something different than before to try and solve it? Question Title * 23. Am I willing to try something different than before to try and solve it? OK DONE