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Comprehensive Anxiety Self-Assessment Checklist

The document is an anxiety checklist that helps individuals identify their type of anxiety, associated physical symptoms, and activities they engage in to relieve anxiety. It includes various options for users to check off, such as ongoing unease, panic attacks, and self-help techniques. Additionally, it encourages users to review their progress as they practice HeartMath tools for insight and motivation towards change.

Uploaded by

Angela Johnson
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66 views1 page

Comprehensive Anxiety Self-Assessment Checklist

The document is an anxiety checklist that helps individuals identify their type of anxiety, associated physical symptoms, and activities they engage in to relieve anxiety. It includes various options for users to check off, such as ongoing unease, panic attacks, and self-help techniques. Additionally, it encourages users to review their progress as they practice HeartMath tools for insight and motivation towards change.

Uploaded by

Angela Johnson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Anxiety Checklist

Describe your type of anxiety as best you can. Check which of the
following apply to you.
• Ongoing or restless unease
• Chronic worry
• Free-floating anxious or fearful feelings
• Panic attacks
• Obsessive thoughts
• Phobias
• Other
Check any physical symptoms you have that might be associated with
anxiety.
• Rapid or irregular heartbeats
• Tension headaches
• Tightening in the chest or other chest pain
• Digestive problems
• Sweaty palms
• Other
Check the activities you have been doing to relieve anxiety.
• Talking to friends or relatives
• Self-help techniques
• Exercise
• Hobbies
• Therapies – list type
• Drugs – list any side effects
• Addictive behaviors – describe (coffee, smoking, alcohol, shopping,
other)
• Nutrition- describe (diet, herbs, vitamins, other)
• Other
As you learn and practice the HeartMath tools, periodically review the
items you checked to see
which have changed and which you still would like to change. Use the
tools to gain the insight
and motivation you need to make those changes.

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