Anxiety/Stress Symptoms Q - CBT for Tinnitus

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ANXIETY/STRESS 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
Reference: Baker et al, (2019) Anxiety Symptoms Questionnaire (ASQ): development and validation, General Psychiatry LINK

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