Select the statements that best reflect your actual feelings over the last
few months. Please be honest with your answers. This inventory is anonymous; no information about you will be collected.
1. I feel tense most of the time.
2. I have a lot of physical problems that can't
be explained.
3. I worry most of the time.
4. I have compulsions such as constant hand washing,
checking the door locks repeatedly, or other rituals that interfere
with my daily activities.
5. I have nightmares and/or "flashbacks"
that I can't get out of my head.
6. I have experienced sensations of shortness
of breath, heart palpitations or shakiness while resting.
7. I avoid social situations because I am fearful.
8. There are some things I am really afraid of.
9. I am afraid to leave my house.
10. I think about dying or killing myself.
11. I have thoughts constantly in my mind which
interfere with my ability to concentrate and function effectively.
Analyzing your answers
This tool was developed to help you become more familiar with what you or someone you care about may be experiencing. If it can help explain your feelings, share this inventory with someone who cares about you or with a behavioral health professional.
If you checked statement 10, seek help immediately, regardless of the other statements you checked. This involves taking any of these steps needed to assure your safety:
Seek out someone you trust and can help you be safe.
Call "911" or the nearest emergency medical service.
If you checked five or more of these statements and have felt this way every day for several months, you should see a qualified mental health professional.
If you checked less than five statements but still feel your ability to function in life is impaired, you should see a qualified mental health professional.
It's important to note that only a health care professional can diagnose a behavioral health disorder. For help, contact the nearest Allina Mental Health location.