1. Do you feel greatly upset by criticism?
2. Do you lose sleep over worry?
3. Do you feel upset by the slightest noise?
4. Do you feel somewhat uneasy on meeting a member of the opposite sex?
5. Do you feel uncomfortable on a conveyance driven at fast speed?
6. Do you find life to be a burden and strain?
7. Do you feel uneasy if you have to wait for something?
8. Do you fear that you may lose your loved one?