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Leahy Anxiety Checklist

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Feeing Shaky

 
 
 
 

Unable to relax

 
 
 
 

Feeling restless

 
 
 
 

Get tired easily

 
 
 
 

Shortness of breath

 
 
 
 

Headaches

 
 
 
 

Dizzy or lightheaded

 
 
 
 

Need to urinate frequently

 
 
 
 

Sweating (unrelated to heat)

 
 
 
 

Heart pounding

 
 
 
 

Heartburn or upset stomach

 
 
 
 

Easily irritated

 
 
 
 

Startled easily

 
 
 
 

Difficulty sleeping

 
 
 
 

Worried a lot

 
 
 
 

Hard to control worries

 
 
 
 

Difficulty concentrating

 
 
 
 

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