文档介绍：指导语: 您好:请您根据最近一周以来自己的实际情况,选择最符合您的一项,并在每题后的5个方格中选择一格,并标记。然后将每题得分填在测验后相应题号的评分栏中,其中“无”记1分,“轻度”记2分,“中度”记3分,“相当重”记4分,“严重”记5分。 
无轻度中度偏重严重
 1. 头痛                                                     □  □  □  □  □ 
2. 神经过敏,心中不踏实                                      □  □  □  □  □ 
3. 头脑中有不必要的想法或字句盘旋                      □  □  □  □  □
 4. 头晕或晕倒                                                □  □  □  □  □ 
5. 对异性的兴趣减退                                          □  □  □  □  □   
6. 对旁人责备求全                                            □  □  □  □  □
 7. 感到别人能控制您的思想                                    □  □  □  □  □
 8. 责怪别人制造麻烦                                          □  □  □  □  □ 
9. 忘性大                                                    □  □  □  □  □ 
10. 担心自己的衣饰整齐及仪态的端正                      □  □  □  □  □ 
 11. 容易烦恼和激动                                          □  □  □  □  □
 12. 胸痛                                                      □  □  □  □  □ 
13. 害怕空旷的场所或街道                                      □  □  □  □  □ 
14. 感到自己的精力下降,活动减慢                      □  □  □  □  □ 
15. 想结束自己的生命                                          □  □  □  □  □ 
 16. 听到旁人听不到的声音                                      □  □  □  □  □ 
17. 发抖                                                      □  □  □  □  □
 18. 感到大多数人都不可信任                                  □  □  □  □  □ 
19. 胃口不好                              