Beck Anxiety Inventory

Beck Anxiety Inventory (BAI) (1)

Date
MM slash DD slash YYYY
Name
First Last
Numbness or tingling*
Feeling hot*
Wobbliness in legs*
Unable to relax*
Fear of the worst happening*
Dizzy or lightheaded*
Heart pounding or racing*
Unsteady*
Terrified or afraid*
Nervous*
Feeling of choking*
Hands trembling*
Shaky/ Unsteady*
Fear of losing control*
Difficulty in breathing*
Fear of dying*
Scared*
Indigestion*
Faint/ lightheaded*
Face flushed*
Hot / cold sweats*