Panic Disorder Severity Scale Several of the following questions refer to panic attacks and 'limited symptom attacks'. For this questionnaire, a panic attack is defined as "A sudden rush of fear or discomfort" accompanied by at least four of the symptoms listed below. To qualify as 'a sudden rush' the symptoms must peak within 10 minutes. Episodes like panic attacks but having fewer than four of the listed symptoms are called 'limited symptom attacks'. Symptoms: Rapid or pounding heartbeat Sweating Trembling or shaking Breathlessness Feeling of choking Chest pain or discomfort Nausea Dizziness or faintness Feelings of unreality Numbness or tingling Chills or hot flushes Fear of losing control or going crazy Fear of dying How many panic and limited symptom attacks did you have during the week?Please select your answerNo panic or limited symptom episodesMild: No full panic attacks and no more than one limited symptom attack per dayModerate: One or two full panic attacks and/or multiple limited symptom attacks per daySevere: More than two full attacks but not more than one per day on averageExtreme: Full panic attacks occurred more than once a day, more days than not If you had any panic attacks during the past week, how distressing (uncomfortable, frightening) were they while they were happening?Please select your answerNot at all distressing, or no panic or limited symptom attacks during the past weekMildly distressing (not too intense)Moderately distressing (intense, but still manageable)Severely distressing (very intense)Extremely distressing (extreme distress during all attacks) During the past week, how much have you worried or felt anxious about when your next panic attack would occur or about fears related to the attacks?Please select your answerNot at allOccasionally or only mildlyFrequently or moderatelyVery often or to a very disturbing degreeNearly constantly and to a disabling extent During the past week were there any places or situations you avoided or felt afraid of because of fear of having a panic attack?Please select your answerNone: No fear or avoidanceMild: Occasional fear and/or avoidance but I could usually confront or endure the situation. There was little or no modification of my lifestyle due to this.Moderate: Noticeable fear and/or avoidance but still manageable. I avoided some situations, but I could confront them with a companion. There was some modification of my lifestyle because of this, but my overall function was not impaired.Severe: Extensive avoidance. Substantial modification of my lifestyle was required to accommodate the avoidance making it difficult to manage usual activities.Extreme: Pervasive disabling fear and/or avoidance. Extensive modification in my lifestyle was required such that important tasks were not performed. During the past week, were there any activities that you avoided or felt afraid of because they caused physical sensations like those you feel during panic attacks or that you were afraid might trigger a panic attack?Please select your answerNo fear or avoidance of situations because of distressing physical sensationsMild: Occasional fear and/or avoidance, but usually I could confront or endure with little distress those activities that cause physical sensations. There was little modification of my lifestyle due to this.Moderate: Noticeable avoidance but still manageable. There was definite, but limited, modification of my lifestyle such that my overall functioning was not impaired.Severe: Extensive avoidance. There was substantial modification of my lifestyle or interference in my functioning.Extreme: Pervasive and disabling avoidance. There was extensive modification in my lifestyle due to this such that important tasks or activities were not performed. During the past week, how much did the above symptoms altogether interfere with your ability to work or carry out your responsibilities at home?Please select your answerNo interference with work or home responsibilitiesSlight interference with work or home responsibilities, but I could do nearly everything I could if I didn't have these problemsSignificant interference with work or home responsibilities, but I could manage to do the things I needed to doSubstantial impairment in work or home responsibilities; there were many important things I couldn't do because of these problemsExtreme, incapacitating impairment such that I was essentially unable to manage any work or home responsibilities During the past week, how much did panic and limited symptom attacks or worry about attacks interfere with your social life?Please select your answerNo interferenceSlight interference with social activities, but I could do nearly everything I could if I didn't have these problemsSignificant interference with social activities but I could manage to do most things if I made the effortSubstantial impairment in social activities. There are many social things I couldn't do because of these problemsExtreme, incapacitating impairment, such that there was hardly anything social I could do Time is Up!