Set H Questions

Page 8 of 9

Answer the following questions based on your past 12 months experience:

Answer the following questions: No Seldom Sometimes Often Always
1. Do you always feel something is
bothering you making you unhappy?
2. Do you find yourself easily anxious?
3. Do you find yourself easily emotional?
4. Do you find yourself easily scared or frightened?
5. Do you feel fullness and pain around
your chest area?
6. Do you find yourself sigh out of sudden?
7. Do you have a feeling something stuck
in your throat that you can't
spit out or swallow?