Question Title

* 1. What is your age?

Question Title

* 2. What is your current level of education?

Question Title

* 3. In the past six months, how often have you felt: Excessive anxiety or worry?

Question Title

* 4. In the past six months, how often have you felt: Restless, fatigued, irritable or tense?

Question Title

* 5. In the past six months, how often have you felt: Distress that caused impairment to daily life or work?

Question Title

* 6. In the past six months, how often have you felt: A low or irritable mood?

Question Title

* 7. In the past six months, how often have you felt: A loss of interest in most activities?

Question Title

* 8. In the past six months, how often have you felt: A sense of guilt or worthlessness?

Question Title

* 9. Have you ever attended therapy at any point in your life?

Question Title

* 10. What is a barrier to attending therapy?

T