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CBT for Tinnitus E-Programme
Search
CBT for distressing tinnitus, anxiety and stress
Tinnitus E-Programme
×
Home
Go to course
Go to course
Initial appointment
Reviews
CBT4T User Reviews
Group 1
Group 2
Group 3
Clinical Outcomes
Why CBT
Tinnitus & Trauma
Autonomic ladder
Tinnitus Trauma
Tinnitus UK
Tinnitus UK
CBT4T Bulletin
Blog
Journey
See us on Facebook
Measures
TFI
PSS
GAD
ASQ
TEP Support
SITREP
First appointment
Using Zoom
Other resources
More
Introduction
Conditions of Use
Mission Statement
History
Testimonials
Privacy Policy and cookies
Free stuff
Professionals
About me
Background
Experience
Development
Go to content
×
Home
Go to course
Go to course
Initial appointment
Reviews
CBT4T User Reviews
Group 1
Group 2
Group 3
Clinical Outcomes
Why CBT
Tinnitus & Trauma
Autonomic ladder
Tinnitus Trauma
Tinnitus UK
Tinnitus UK
CBT4T Bulletin
Blog
Journey
See us on Facebook
Measures
TFI
PSS
GAD
ASQ
TEP Support
SITREP
First appointment
Using Zoom
Other resources
More
Introduction
Conditions of Use
Mission Statement
History
Testimonials
Privacy Policy and cookies
Free stuff
Professionals
About me
Background
Experience
Development
BAI (Beck Anxiety Inventory)
Name*
Date*
Your email*
PLEASE READ THE FOLLOWING STATEMENT ABOUT HOW YOUR BAI RESULTS MAY BE USED FOR RESEARCH PURPOSES
* I agree that the anonymous results of my BAI may be included in future research of the Tinnitus E-Programme, by Debbie Featherstone and NIHR NHBRC (National Institute of Hearing Research, Nottingham Biomedical Research Centre) and that my personal data is NOT for publication.
If you CAN agree, you will be helping with research of outcomes for the Tinnitus E-Programme
Please choose your answer from the dropdown menu:*
-
I agree
I disagree
Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by each symptom during the PAST WEEK, INCLUDING TODAY, by choosing your answer from the dropdown menu
1. Numbness or tingling*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
2. Feeling hot*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
3. Wobbliness in legs*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
4. Unable to relax*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
5. Fear of the worst happening*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
6. Dizziness or lightheaded*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
7. Heart pounding or racing *
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
8. Unsteady*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
9. Terrified*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
10. Nervous*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
11. Feelings of choking*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
12. Hands trembling*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
13. Shaky*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
14. Fear of losing control*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
15. Difficulty breathing*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
16. Fear of dying*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
17. Scared*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
18. Indigestion or discomfort in the abdomen*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
19. Faint*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
20. Face flushed*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
21. Sweating (not due to heat)*
-
0 Not at all
1 Mildly (It didn't bother me much)
2 Moderately (It was very unpleasant but I could stand it)
3 Severely (I could barely stand it)
THANK YOU for completing the BAI.
Now, review your answers in case you want to make any changes, then press SEND
You will receive a copy of your answers in an email by return
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