Comprehensive Anxiety Assessment with Self-Scoring and AI Summary

​Anxiety can affect thoughts, emotions, physical sensations, relationships, sleep, work performance, decision-making, and a person’s ability to participate comfortably in everyday life. Because anxiety does not always fit into a single category, this comprehensive assessment examines symptoms across multiple domains, including generalized worry, social anxiety, panic attacks, agoraphobic avoidance, health anxiety, trauma-related hyperarousal, specific phobias, intrusive thoughts, somatic anxiety, separation-related anxiety, performance anxiety, reassurance seeking, and avoidance. The assessment automatically calculates scores for each area and creates an individualized AI-style summary that can help identify symptom patterns, functional impairment, and appropriate areas for further clinical evaluation.

---

Comprehensive Self-Scoring Clinical Worksheet

Comprehensive Anxiety Assessment

This assessment measures anxiety across multiple domains, including generalized worry, social anxiety, panic symptoms, agoraphobic avoidance, health anxiety, trauma-related hyperarousal, phobic fear, intrusive-thought distress, somatic anxiety, separation-related anxiety, performance anxiety, avoidance, and functional impairment. Results are organized into a clear automated summary to support discussion with a qualified mental health professional.

Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ASDCS, NATC, CCTP, CCTP II, ADHD-CCSP, C-DBT, C-PD
Double Board Certified Licensed Clinical Psychotherapist

Score Assessment & Generate AI Summary Save Progress Restore Saved Work Print / Save as PDF Clear Assessment

Important: This worksheet is a screening and progress-monitoring tool, not a diagnosis. Anxiety symptoms may overlap with medical conditions, medication effects, trauma, sleep deprivation, substance use, mood disorders, OCD, autism, ADHD, and other concerns. Results should be interpreted in clinical context.

Client Information

Client name

Assessment date

Clinician

Reason for completing this assessment

How to Answer

Rate how much each statement has applied during the past two weeks.

0
Not at all

1
Several days / mild

2
More than half the days / moderate

3
Nearly every day / significant

4
Extreme or severely impairing

Functional Impairment and Overall Impact

Anxiety interfered with my work, school, caregiving, or daily responsibilities.

Anxiety interfered with relationships or caused conflict, withdrawal, or reassurance seeking.

Anxiety disrupted sleep, rest, appetite, concentration, or physical comfort.

I avoided important activities or opportunities because of anxiety.

I felt unable to control or manage my anxiety without substantial help or accommodation.

Safety and Urgent Clinical Review

These questions are not included in the anxiety score. Any positive response should be discussed promptly with a clinician.

Have you had thoughts of harming yourself or not wanting to be alive? Select No Yes, thoughts only Yes, with plan or intent

Have you had thoughts of harming another person? Select No Unwanted intrusive thoughts without intent Concern about intent or control

Have you experienced command hallucinations, severe loss of reality testing, or feeling unable to control your behavior? Select No Unsure Yes

Are substances, medication changes, or withdrawal contributing to severe anxiety or agitation? Select No Possibly Yes

Safety-related notes for the clinician

Scoring Results

Overall Anxiety Burden

Total score

0 / 0

Complete the assessment and select “Score Assessment & Generate AI Summary.”

Functional Impairment

Impairment score

0 / 20

Not yet scored.

Automated AI-Style Clinical Summary

This summary is generated locally from the selected responses. It does not send information to an external AI service and should not replace clinical judgment.

Complete the assessment and select “Score Assessment & Generate AI Summary.”

Clinician interpretation, diagnostic considerations, and next steps

Possible Clinical Follow-Up

Elevated domain	Possible follow-up areas
Generalized anxiety	Worry duration, controllability, restlessness, sleep, concentration, muscle tension, irritability, medical and medication contributors.
Social anxiety	Fear of scrutiny, humiliation, rejection, avoidance, performance situations, masking, autism-related social stress, and functional impairment.
Panic	Unexpected versus situational attacks, fear of recurrence, cardiac or medical causes, substance use, and panic-related behavioral changes.
Agoraphobia	Fear of escape difficulty, crowds, travel, enclosed or open spaces, being alone outside the home, and accommodation by others.
Health anxiety	Checking, reassurance, medical utilization, symptom monitoring, avoidance of care, and actual health conditions.
Trauma-related anxiety	Trauma exposure, intrusive memories, avoidance, hypervigilance, startle response, nightmares, dissociation, and safety.
Intrusive thoughts / compulsions	Ego-dystonic thoughts, checking, reassurance, mental rituals, avoidance, thought-action fusion, and OCD assessment.
Specific phobia	Specific trigger, immediate fear response, avoidance, duration, disproportionality, and exposure hierarchy.
Somatic anxiety	Medical rule-outs, medication effects, sleep, caffeine, hormones, pain, gastrointestinal symptoms, and autonomic arousal.
Separation anxiety	Fear of loss, excessive contact or reassurance, difficulty sleeping alone, avoidance of separation, and developmental history.

Interpretive principle: The highest-scoring domain is not automatically the diagnosis. Diagnosis depends on symptom duration, onset, context, impairment, exclusions, medical considerations, developmental history, trauma history, and whether another condition better explains the symptoms.

Educational and clinical screening resource prepared for use in psychotherapy.
© Mark Zauss. All rights reserved.

Sources and Clinical References

1. American Psychiatric Association — What Are Anxiety Disorders?
   Overview of generalized anxiety disorder, panic disorder, agoraphobia, social anxiety disorder, specific phobias, separation anxiety disorder, and related anxiety conditions.
2. American Psychiatric Association — DSM-5-TR Online Assessment Measures
   Patient-reported symptom measures intended to support initial assessment and monitor treatment progress.
3. Spitzer, Kroenke, Williams, and Löwe — A Brief Measure for Assessing Generalized Anxiety Disorder
   Original development and validation of the GAD-7 as a screening and severity measure for generalized anxiety symptoms.
4. Löwe and colleagues — Validation and Standardization of the Generalized Anxiety Disorder-7
   Research supporting the reliability, construct validity, and use of the GAD-7 in the general population.
5. Connor and colleagues — Psychometric Properties of the Social Phobia Inventory
   Development and validation of the SPIN for assessing social-anxiety fear, avoidance, physical discomfort, and treatment response.
6. Shear and colleagues — Reliability and Validity of the Panic Disorder Severity Scale
   Validation research supporting structured measurement of panic-attack frequency, distress, anticipatory anxiety, avoidance, and impairment.
7. Furukawa and colleagues — Evidence-Based Guidelines for Interpretation of the Panic Disorder Severity Scale
   Research examining clinically meaningful severity, response, and remission thresholds for panic symptoms.
8. American Psychiatric Association — DSM-5 Anxiety Disorders Classification
   Reference identifying recognized anxiety-disorder categories, including separation anxiety disorder, specific phobia, social anxiety disorder, panic disorder, and agoraphobia.

This comprehensive anxiety assessment is an educational, clinical-screening, and progress-monitoring resource. Although its content was informed by established anxiety-disorder criteria and validated symptom measures, this combined worksheet has not itself undergone independent psychometric validation. Scores and automated summaries do not establish a diagnosis and should be interpreted by a qualified mental health professional together with a clinical interview, symptom duration, developmental and trauma history, medical considerations, medication and substance effects, functional impairment, and appropriate differential diagnosis.