Beck Anxiety Inventory

Beck Anxiety Inventory (BAI)

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*

The total score is calculated by finding the sum of the 21 items.
Score of 0 – 21 = low anxiety
Score of 22 – 35 = moderate anxiety
Score of 36 and above = potentially concerning levels of anxiety