Beck Anxiety Inventory (BAI)

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 that symptom during the past WEEK, including
today, by circling the number in the corresponding space in the column next to each symptom.

          DATE:           TIME (24hr):  

   Patient Code:  

 

Not at all

Mildly

Moderately

Severely

   1.   Numbness or Tingling.
   2.   Feeling Hot.
   3.   Wobbliness in Legs.
   4.   Unable to Relax.
   5.   Fear of the Worst Happening.
   6.   Dizzy or Lightheaded.
   7.   Heart Pounding or Racing.
   8.   Unsteady.
   9.   Terrified.
 10.   Nervous.
 11.   Feeling of Choking.
 12.   Hands Trembling.
 13.   Shaky.
 14.   Fear of Losing Control.
 15.   Difficulty Breathing.
 16.   Fear of Dying.
 17.   Scared.
 18.   Indigestion or Discomfort in Abdomen.
 19.   Faint.
 20.   Face Flushed.
 21.   Sweating (not due to heat).

      

TEXT FOR YOUR RECORDS

    Beck Anxiety Inventory      Maximum score = 63
         (Severity Rating from 1933 BAI Manual)

       0   -    7      Minimal
  8   -   15      Mild
        16   -   25      Moderate
    26   -   63      Severe

DATA FILE


Last update:  05/25/2017 by Jimmy Liang & Dr. J. Wesson Ashford