Anxiety and Depression Assessment

This assessment will help us to create a personalized plan of action for your next 8 weeks. Your accurate answers help to ensure your successful journey.

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Start

Question 1 of 6

What symptoms are you aware of?

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Question 2 of 6

How long have you experienced anxiety?

(Select all that apply)

A

5-10 Years

B

More than 10 years

C

Less than 5 years

Question 3 of 6

You have experienced traumatic events?

A

True

B

False

Question 4 of 6

What areas of life are affected by your symptoms?

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Question 5 of 6

Does anyone in your family have history of similar symptoms?

A

Yes

B

No

Question 6 of 6

List previous and current treatment for these symptoms.

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