Health Anxiety, Assessment

"*" indicates required fields

MM slash DD slash YYYY
Each question is this section consists of a group of four statements. Please read each group of statements carefully and then select the one which best describes your feelings, over the past six months (or other agreed time period). Identify the statement by ringing the letter next to it, i.e. if you think that statement a.) is correct, ring statement a.). It may be that more than one statement applies, in which case, please ring any that are applicable.
1. Statements
2. Statements
3. Statements
4. Statements
5. Statements
6. Statements
7. Statements
8. Statements
9. Statements
10. Statements
11. Statements
12. Statements
13. Statements
14. Statements
For the following questions, please think about what it might be like if you had a serious illness of a type which particularly concerns you (e.g. heart disease, cancer, multiple sclerosis & so on). Obviously you cannot know for definite what it would be like; please give your best estimate of what you think might happen, basing your estimate on what you know about yourself and serious illness in general.
15. Statements
16. Statements
17. Statements
18. Statements