Anxiety Questionnaire

Please answer following questions:

Do you experience excessive worry?

Is your worry excessive in intensity, frequency, or amount of distress it causes?

Do you find it difficult to control the worry (or stop worrying) once it starts?

Do you worry excessively or uncontrollably about minor things such as being late for an appointment, minor repairs, homework, etc.?

Would you like to be contacted to schedule an appointment with MyCHN provider?