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