Doctors Letters 13/6 - Good Medicine
health anxiety rating scale (hrs)
1.) how distressing/disabling have your health worries been in the last week?
not at all moderately couldn’t be worse
0 10 20 30 40 50 60 70 80 90 100
2.) how often in the past week have you avoided activities because of worry about your health, place a number from the scale below next to each item?
not at all half the time all the time
0% 10 20 30 40 50 60 70 80 90 100%
physical exercise _____ strenuous activity _____ TV programmes _____
thoughts about _____ magazine articles _____ other (specify):
illness on illness _____________ _____
_____________ _____
3.) how many times in the past week have you checked your body?
not at all more than 30 x
0 1-5 6-10 11-15 16-20 21-25 26-30 30+
4. how often in the past week have you sought reassurance when you have been worried about your health?
not at all half the time all the time
0% 10 20 30 40 50 60 70 80 90 100%
5. below are a number of thoughts people have about their health – indicate how much you believe each thought by placing a number next to each one from the scale below.
do not believe completely convinced
the thought the thought is true
0% 10 20 30 40 50 60 70 80 90 100%
I have a serious physical illness _____ I have AIDS _____
I have a brain tumour _____ I have cancer _____
I have a serious heart problem _____ I have a serious muscle disease _____
other thoughts not already listed rating
a.) ______________________________________ _____
b.) ______________________________________ _____
c.) ______________________________________ _____
adapted from: Wells A Cognitive therapy of anxiety disorders Chichester: John Wiley, 1997
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