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BAI - Beck Anxiety Inventory

GOODMAN AND HEIDRICH
Psychological Assessment Center and Psychotherapy 270 26th Street #201 Santa Monica, CA 90402
*Donald Goodman, Ph.D Lic# Psy 22613 Phone: 818-917-4524 Fax: 800-878-7720 *Brenda Heidrich ,Ph.D Lic# Psy 29105 Phone: 310-748-8393

Personal Information

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Name(Required)
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Evaluation BAI

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the corresponding space in the column next to each symptom.
Numbness or tingling(Required)
Feeling hot(Required)
Wobbliness in legs(Required)
Unable to relax(Required)
Fear of worst happening(Required)
Dizzy or lightheaded(Required)
Heart pounding/racing(Required)
Hot/cold sweats(Required)
Unsteady(Required)
Terrified or afraid(Required)
Nervous(Required)
Feeling of choking(Required)
Hands trembling(Required)
Shaky / unsteady(Required)
Fear of losing control(Required)
Difficulty in breathing(Required)
Fear of dying(Required)
Indigestion(Required)
Scared(Required)
Faint / lightheaded(Required)
Face flushed(Required)

We pride ourselves on quick turnaround

Contact

Call us to schedule an appointment
Dr. Goodman: +1 -818-917-4524 
Dr. Heidrich: +1-310-748-8393 ,
or
send us an email and we will get back to you
as soon as possible.