Hamilton Anxiety Rating Scale (HAM-A)

This survey allow to be taken only 1 time.

This survey has 2 page.

Source: https://dcf.psychiatry.ufl.edu/files/2011/05/HAMILTON-ANXIETY.pdf

Below is a list of phrases that describe certain feeling that people have. Rate the patients by finding the answer which best describes the extent to which he/she has these conditions. Select one of the five responses for each of the fourteen questions.


Q1. Anxious mood: Worries, anticipation of the worst, fearful anticipation, irritability

Not present
Mild
Moderate
Severe
Very Severe

Q2. Tension: Feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.

Not present
Mild
Moderate
Severe
Very Severe

Q3. Fears: Of dark, of strangers, of being left alone, of animals, of traffic, of crowds

Not present
Mild
Moderate
Severe
Very Severe

Q4. Insomnia: Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.

Not present
Mild
Moderate
Severe
Very Severe

Q5. Intellectual: Difficulty in concentration, poor memory

Not present
Mild
Moderate
Severe
Very Severe

Q6. Depressed mood: Loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing

Not present
Mild
Moderate
Severe
Very Severe

Q7. Somatic (muscular): Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.

Not present
Mild
Moderate
Severe
Very Severe

Q8. Somatic (sensory): Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.

Not present
Mild
Moderate
Severe
Very Severe

Q9. Cardiovascular symptoms: Tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.

Not present
Mild
Moderate
Severe
Very Severe

Q10. Respiratory symptoms: Pressure or constriction in chest, choking feelings, sighing, dyspnea

Not present
Mild
Moderate
Severe
Very Severe

Q11. Gastrointestinal symptoms: Difficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.

Not present
Mild
Moderate
Severe
Very Severe

Q12. Genitourinary symptoms: Frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.

Not present
Mild
Moderate
Severe
Very Severe

Q13. Autonomic symptoms: Dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.

Not present
Mild
Moderate
Severe
Very Severe

Q14. Behavior at interview: Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.

Not present
Mild
Moderate
Severe
Very Severe