Penn State Worry Questionnaire
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During the past 7 days how much have you been bothered by any of the following problems?
1. Stomach pain
2. Back pain
4. Menstrual cramps or other problems with your period (women only)
5. Headaches
6. Chest pain
7. Dizziness
8. Fainting spells
9. Felling your heart pound or race
10. Shortness of breath
11. Pain or problems during sexual intercourse
12. Constipation, loose bowels or diarrhea
13. Nausea, gas or indigestion
14. Feeling tired or having low energy
15. Trouble sleeping