Restoring Your Positive Vibes

Hypnotherapy and Psychotherapy

Patient Questionnaire – Anxiety Self-Assessment

We’ve added a quick and convenient anxiety self-assessment to our website!

Did you know that — according to the National Alliance on Mental Illness (NAMI) — 19 percent of Americans suffer from some sort of anxiety disorder? Anxiety is the most common mental illness, and while it is entirely normal to feel anxious in stressful situations like public speaking, anxiety can become all-consuming.

If you’re wondering how severe your anxiety is, try taking this quick and easy anxiety self-assessment. While anxiety can be overwhelming, know that it can be treated. Here at Revibe Therapy in Winterpark, we always suggest that you visit your doctor to discuss your mental health. And the great thing about hypnotherapy is that it can be used alongside other treatment options, like medication and therapy. If you’re ready to schedule an appointment for Hypnotherapy and Psychotherapy intervention, contact us today.

When answering the questions below, think back to the past 2 weeks when answering each question.


  • View your total score below.

  • Understanding Your Total Score:
    5-9 - Mild Anxiety; Monitor
    10-14 - Moderate Anxiety; Possible clinically significant condition
    15+ - Severe Anxiety; Warrants active treatment

  • Interested in speaking with someone at Revibe Therapy? Simply submit your name and email address below and our team will reach out shortly.
  • This field is for validation purposes and should be left unchanged.

CONTACT REVIBE TODAY