Instruction: Please read each statement and indicate how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

1.I was aware of dryness of my mouth
2.I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion)
3.I experienced trembling (e.g. in the hands)
4.I was worried about situations in which I might panic and make a fool of myself
5.I felt I was close to panic
6.I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat)
7.I felt scared without any good reason

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