Penn State Worry Questionnaire
Please take a moment to complete this questionnaire.
I prefer to respond anonymously:
Name
Email

1) Because of the way I feel, my ability to work is impaired

0 indicates no impairment at all and 8 indicates severe impairment


                 
2. Because of the way I feel, my home management (cleaning, tidying, shopping, cooking, looking after home or children, paying bills) is impaired

0 indicates no impairment at all and 8 indicates severe impairment


                 
3. Because of the way I feel, my social leisure activities involving other people (such as parties, outings, visits, dating, home entertainment, cinema) are impaired

0 indicates no impairment at all and 8 indicates severe impairment


                 
4. Because of the way I feel, my private leisure activities done alone (such as reading, watching TV, gardening, craft work, walking, sewing) are impaired

0 indicates no impairment at all and 8 indicates severe impairment


                 
5. Because of the way I feel, my ability to form and maintain close relationships with others, including those I live with is impaired

0 indicates no impairment at all and 8 indicates severe impairment