Preview only · not scored here

ASI3

Please rate the extent to which you agree with each statement. If any of the items concern something you have never experienced, answer on the basis of how you think you might feel.

  1. 1.It is important for me not to appear nervous.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  2. 2.When I cannot keep my mind on a task, I worry that I might be going crazy.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  3. 3.It scares me when my heart beats rapidly.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  4. 4.When my stomach is upset, I worry that I might be seriously ill.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  5. 5.It scares me when I am unable to keep my mind on a task.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  6. 6.When I tremble in the presence of others, I fear what people might think of me.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  7. 7.When my chest feels tight, I get scared that I won't be able to breathe properly.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  8. 8.When I feel pain in my chest, I worry that I'm going to have a heart attack.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  9. 9.I worry that other people will notice my anxiety.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  10. 10.When I feel 'spacey' or spaced out, I worry that I may be mentally ill.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  11. 11.It scares me when I blush in front of people.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  12. 12.When I notice my heart skipping a beat, I worry that there is something seriously wrong with me.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  13. 13.When I begin to sweat in a social situation, I fear people will think negatively of me.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  14. 14.When my thoughts seem to speed up, I worry that I might be going crazy.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  15. 15.When my throat feels tight, I worry that I could choke to death.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  16. 16.When I have trouble thinking clearly, I worry that there is something wrong with me.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  17. 17.I think it would be horrible for me to faint in public.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much
  18. 18.When my mind goes blank, I worry there is something terribly wrong with me.

    • [0]0 — Very little
    • [1]1 — A little
    • [2]2 — Some
    • [3]3 — Much
    • [4]4 — Very much

Apply ASI3 with automatic scoring

Send it to your patient by link or email, get scores, severity bands and an AI-assisted report inside their clinical record.

Start free trial