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Anxiety Symptoms Q - Debbie Featherstone | www.debbiefeatherstone.com

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Cognitive Behaviour Therapy
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Anxiety Symptoms Questionnaire (ASQ)
Please read each item and FILL EACH BOX WITH THE NUMBER in the scales below that best describes your experience regarding the INTENSITY (A) and FREQUENCY (B) of these symptoms

A. How INTENSE or BOTHERSOME the symptoms have been IN THE PAST WEEK:

A. INTENSITY
  • 0 = None
  • 1-3 = Mild
  • 4-6 = Moderate
  • 7-9 = Severe
  • 10 = Extreme distress

B. How FREQUENTLY have you experienced the symptoms IN THE PAST WEEK:

B. FREQUENCY
  • 0 = Never
  • 1-3 = Occasionally
  • 4-6 = Often
  • 7-9 = Usually
  • 10 = All the time

Debbie Featherstone MSc Hearing Therapy | Psychotherapy & CBT Specialist

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