PSWQ

Your birthdate and date of your first DBTCSD therapy session are needed for us to identify your data while keeping it anonymous to others. Your data will be transmitted securely as scrambled numbers without any text labels.
Birthday year
Name of therapist (primary therapist)
Filled out by


Rate each of the following statements on a scale of:
    1 = not at all typical of me
    5 = very typical of me

Not Very
at all typical During the course of last week...
If I do not have enough time to do everything, I do not worry about it
My worries overwhelm me
I do not tend to worry about things
Many situations make me worry
I know I should not worry about things, but I just cannot help it
When I am under pressure I worry a lot
I am always worrying about something
I find it easy to dismiss worrisome thoughts
As soon as I finish one task, I start to worry about everything else I have to do
I never worry about anything
When there is nothing more I can do about a concern, I do not worry about it any more
I have been a worrier all my life
I notice that I have been worrying about things
Once I start worrying, I cannot stop
I worry all the time
I worry about projects until they are all done