Anxiety & Depression Survey

Struggling with Anxiety more than usual so that causes dysfunctions in one or more areas of life seems to be very common and more than the current statistics in DSM5 (Diagnostics and Statistics of Manual of Mental Disorders) 5th edition. Please take a few minutes and answer the following survey as an attempt to identify the true rate or prevalence of the common anxiety disorder that’s medically known as GAD (Generalized Anxiety Disorder). To a get close estimate of the prevalence of this condition, we ask everyone who visits this site to fill out the survey even if you don’t have no history of anxiety or depression. 

Thank You.

1. How old are you?

2. Do you usually get anxious, tense or stressed upon performance such as in school upon tests, exams, presentations or interviews?

 
 

3. Do you usually get anxious, tense or stressed in social situations, crowds or with strangers?

 
 

4. Do you dislike and usually try to avoid anxiety provoking situations?

 
 

5. Are you a worrier and do you anticipate the worst of the situations?

 
 

6. Have you found difficult to control your anxiety and worries?

 
 

7. Are you usually restless or feeling keyed up or on edge?

 
 

8. Do you feel easily fatigued?

 
 

9. Do you usually have difficulty concentrating or experience your mind going blank?

 
 

10. Are you usually irritable?

 
 

11. Do you usually have muscle tension?

 
 

12. Do you usually have any sleep disturbances such as difficulty falling or staying asleep, or having restless, unsatisfying sleep?

 
 

13. Have you ever had any anxiety or panic attacks with uncomfortable physical symptoms such as heart race, sweating, shortness of breath, chest pain, dizziness, shakes?

 
 

14. Has your anxiety caused dysfunction in any parts of your social, occupational, or any other important parts of your life?

 
 

15. Have you ever had any episode of depression?

 
 

16. Has your depression been long for more than 2 weeks?

 
 

17. Has your depression been reactive to your stress, anxiety and situational?

 
 

18. Have you been helpless towards the situations that you could not control?

 
 

19. Have you ever become hopeless towards life?  

 
 

20. Have you ever been suicidal?

 
 

21. Have you ever attempted suicide?

 
 

22. Have you ever been diagnosed with GAD (Generalized Anxiety Disorder)?

 
 

23. Have you ever been diagnosed with Major Depression?

 
 

24. Have you thought or been told that you have mood swings?

 
 

25. Have you ever been diagnosed with Bipolar Disorder?

 
 

26. When did you first experience your anxiety?

 
 
 
 
 

27. When did you first experience your depression?

 
 
 
 
 

28. Have you ever sought medical help for your mood condition?

 
 

29. Have you ever been in psychotherapy?

 
 

30. Have you ever taken any antidepressants?

 
 

31. Have you ever taken any tranquilizers such as Lorazepam (Ativan), Clonazepam, Diazepam?

 
 

32. Have you ever taken any other psychiatric medications?

 
 

33. Have you tried more than a few times to use alcohol or street drugs for alleviation of your mood condition and which one of the following?

 
 
 
 
 
 

34. Does anybody else in your family suffers from anxiety and worries?

 
 

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