Shikhan’s Self-Assessment Anxiety Scale, SPRAS. Take a free online course without registration.

This is a brief questionnaire designed for a quick assessment of subjective anxiety levels. It helps to identify how pronounced a person feels their anxiety symptoms, including internal tension, worry, difficulties in concentration, somatic manifestations, and the impact of anxiety on daily life.

SPRAS is used both in clinical practice and self-assessment, as it is based on the subjective feelings of the individual rather than external observation. It is convenient for regular monitoring of the condition, assessing the dynamics of anxiety, and the effectiveness of therapy or psychological correction.

Determine how much the specified symptoms have bothered you over the past week.

During the past week, how much have you been bothered by...	Not at all	Slightly	Moderately	Severely	Extremely
1. Difficulty breathing in, shortness of breath or rapid breathing
2. Feeling of choking or a lump in the throat
3. Heart racing, pounding, feeling as if it is about to jump out of your chest
4. Chest pain or unpleasant feeling of tightness in the chest
5. Profuse sweating (sweating heavily)
6. Weakness, faint spells, dizziness
7. "Rubbery", "not your own" legs
8. Feeling unsteady or of losing your balance
9. Nausea or unpleasant sensations in the stomach
10. Feeling that everything around you becomes strange, unreal, foggy or distant
11. Feeling that everything is floating, "I am outside my body"
12. Tingling or numbness in different parts of the body
13. Hot or cold flashes
14. Trembling (tremor)
15. Fear of dying or that something terrible is about to happen
16. Fear of going crazy or losing control
17. Sudden anxiety attacks accompanied by three or more of the above signs, occurring just before and when entering a situation which, in your experience, can trigger an attack
18. Sudden unexpected anxiety attacks accompanied by three or more of the above signs, occurring for minor reasons or without any apparent reason (i.e. when you are NOT in a situation which, in your experience, can trigger an attack)
19. Sudden unexpected attacks accompanied by only one or two of the above signs, occurring for minor reasons or without any apparent reason (i.e. when you are NOT in a situation which, in your experience, can trigger an attack)
20. Periods of anxiety that increase as you prepare to do something that, in your experience, may cause anxiety, and that are stronger than the anxiety most people would feel in such situations
21. Avoidance of situations that frighten you
22. A state of dependence on other people
23. Tension and inability to relax
24. Anxiety, "nervousness", restlessness
25. Episodes of increased sensitivity to sound, light or touch
26. Attacks of diarrhea
27. Excessive worry about your health
28. Feeling of tiredness, weakness and increased ...
29. Headaches or neck pain
30. Difficulty falling asleep
31. Waking up during the night or restless sleep
32. Unexpected periods of depression arising for minor reasons or for no reason
33. Mood and emotional swings that mainly depend on what is happening around you
34. Recurrent and intrusive thoughts, ideas, impulses or images that you experience as distressing, unpleasant, senseless or repulsive
35. Repeating the same action as a ritual, for example repeated checking, washing or counting when there is no real need to do so

Shikhan’s Self-Assessment Anxiety Scale, SPRAS

Sheehan Anxiety Self-Rating Scale, SPRAS