In the last month, have you

Experienced unexpected upset or felt unable to control the important things in your life, leaving you feeling nervous and stressed?

In the last month, have you

Lacked confidence in your ability to handle your personal problems or found that things were not going your way?

In the last month, have you

Felt on top of things or been angered by events that were out of your control?

Have you had trouble staying focused on the present moment?

Have you often felt overwhelmed with your life?

Have you regularly gotten less than 7-8 hours of sleep a night?

Have you turned to unhealthy food indulgences, such as eating junk food, drinking excessively, or eating sugary foods when feeling overwhelmed?

Have you had a hard time staying focused and concentrating on tasks during work hours?

Have you felt pain or tension in your stomach, muscles, chest, or head?

Have you noticed any increase or decrease in your sex drive?

For women before menopause, have you had irregular periods, or for men before the age of 65, have you experienced impotence?

Have you felt like withdrawing from family, friends, and isolating yourself?

Have you had an increase in daily habits such as using alcohol, drugs, or tobacco as a way to self-soothe?

Do you often feel irritable, annoyed, or angry over trivial issues?

Do you feel constantly tired without a clear reason?

Do you feel overcome by nervousness?

Do you feel pervaded by a sense of hopelessness?

Do you feel frequently restless or unable to sit still?

Do you feel suffering from a state of depression?

Do you feel as though every task required too much effort?

Do you feel so sad that no activity or company could lift your spirits?

Do you feel like you have no worth or value?

In the past week, have you felt

Overwhelmed, as if you were swamped by responsibilities, overextended, or that there was too much to do in too little time?

In the past week, have you felt

Under pressure, like you were rushed, couldn't cope, or had to make quick decisions without enough time to breathe?

In the past week, have you felt

Helpless or defeated, feeling like things kept piling up, the odds were against you, or there was no escape from the challenges you faced?

In the past week, have you felt

Mentally burdened, as if you had a lot on your mind, felt powerless, overcommitted, or like your life was out of control?

In the past week, have you felt

Negative about your capabilities, feeling strained, inadequate, or having no sense of getting ahead?

In the past week, have you felt

On the brink of giving up, as if you were carrying a heavy load, things couldn’t get worse, or like just giving up?