Body Sensations Questionnaire (CheBt ID Below is a ls of specific body sensations that may occur when you are nervous of in & feared situation Please mark down how aa you are ofthese feelings. Use the following five point scale d 2 3 4 5 notarall somewhat moderately vey extemely sftightened by this sensation Please rate all items, 1. hear palpitations pressure or aheavy feling in chest 2 5 umbness in ams oes 4, tingling in the Fingertips 5. mumbnes in another part of your body 6, fectng shor of breath 1. dizziness 8 9. lured or distored vision 10. having “buterfies” in your stomach 1 11, feeling kota your stomach 1 12, having stump in your throat 1 13, wobbly or ber lees 1 14 sweating 1 15. ady throat 1 16. feeling disoriented and confused 1 17, feeling disconnected from your body: only parly present | 1 1S. other (please describe)... copyright 1984, Dianne L. Chanbleas