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Skip menu
×
Home
Reviews
▼
CBT4T Reviews
Stage 4 Reports
Case Study
Clinical Outcomes
Clinical Measures
▼
TFI
Join CBT4T
▼
You and CBT4T
Substack
▼
CBT4T Substack
CBT4T Bulletin
Why CBT4T
▼
The CBT in CBT4T
Neuroplasticity
Neurochemistry of stress
Tinnitus Sounds
Useful to know
Why CBT4T
Tinnitus & Trauma
▼
Autonomic ladder
Tinnitus Trauma
View & Enrol
Relaxation
▼
Progressive Relaxation
Shama-k-I
Professionals
▼
Audiologists
Audiologist Training
Tinnitus UK
▼
Tinnitus UK
Tinnitus UK Partner
About us
▼
Background
Experience
Journey
Bits & Bobs
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SITREP
Using Zoom
Other resources
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Introduction
Conditions of Use
Mission Statement
History
Testimonials
Privacy Policy and cookies
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NIHR NHBRC (National Institute of Hearing Research, Nottingham Biomedical Research Centre) and that my personal data is NOT for publication.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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