Worry and Anxiety Questionnaire (WAQ)

1. What subjects do you worry about most often?
a) __________________‚ b) _______________‚ c) ________________
d) __________________‚ e) _______________‚ e) ________________
For the following items‚ please circle the corresponding number (1 to 5).
2. Do your worries seem excessive or exaggerated?
1- Not at all excessive‚ 3- Moderately excessive‚ 5 – Totally excessive
3. Over the past six months‚ how many days have you been bothered by excessive worry?
1- Never‚ 3- day out of2‚ 5- Everyday
4. Do yon have difficulty controlling your worries? For example‚ when you start worrying about something‚ do you have difficulty stopping?
1- No difficulty‚ 3- Moderate difficulty‚ 5- Extreme difficulty
5. Over the past six months‚ to what extent have you been disturbed by the following sensations when you were worried or anxious? Rate each sensation by circling a number (1 to 5).
a) Restlessness or feeling keyed up or on edge
1- Not at all‚ 3- Moderately‚ 5- very severely
b) Being easily fatigued
1- Not at all‚ 3- Moderately‚ 5- very severely
C) Difficulty concentrating or mind going blank
1- Not at all‚ 3- Moderately‚ 5- very severely
d) Irritability
1- Not at all‚ 3- Moderately‚ 5- very severely
e) Muscle tension
1- Not at all‚ 3- Moderately‚ 5- very severely
f) Sleep disturbance (difficulty falling or staying asleep‚ or restless unsatisfying sleep). 1- Not at all‚ 3- Moderately‚ 5- very severely
6. To what extent does worry or anxiety interfere with your life? For example‚ your work‚ social activities‚ family life‚ etc.?
1- Not at all‚ 3- Moderately‚ 5- very severely
 
Worry and Anxiety Questionnaire II (WAQ-II)
Amelie Doucet‚ 2008
Revised version of the 11-item Worry and Anxiety Questionnaire (WAQ; Dugas et al.‚ 2001)
Many people talk about worry. The following is a definition of worry:
“Worry is a chain of upsetting thoughts about something bad that could happen to you or to others.”
Please keep this definition in mind when you answer the questions on this form.
1. What do you worry about most often?
a) __________________‚ b) _______________‚ c) ________________‚ d _______________
e ) __________________‚ f) _______________‚ g) ________________‚ h _______________
2. Do you think your worries are excessive? In other words‚ are they blown out of proportion?
0- Not at all‚ 2- Slightly‚ 4-Moderately‚ 6-Very Much‚ 8-Extremely
3. Over the past 6 months‚ how often have you had excessive worries?
0- Never‚ 2-Some days‚ 4- 50% of days‚ 6-Most days‚  8-Everyday
4. Do you think you have problems controlling your worry? (For example‚ once you start to worry‚ you feel like you cannot stop.)
0- Not at all‚ 2- Slightly‚ 4-Moderately‚ 6-Very Much‚ 8-Extremely
5. How often do you have problems controlling your worry?
0- Never‚ 2-Some days‚ 4- 50% of days‚ 6-Most days‚ 8-Everyday
6. Over the last 6 months‚ how often did you experience the following signs of anxiety?
0- Never‚ 2-Some days‚ 4- 50% of days‚ 6-Most days‚ 8-Everyday
_____ a) Restlessness or being “keyed up” or “on edge”
_____ b) Tiring easily
_____ c) Trouble concentrating
_____ d) Irritability (being easily annoyed or angered)
_____ e) Muscle tension (often pain or tightness in the face‚ neck‚ shoulders or back)
_____ f) Problems sleeping (problems falling asleep‚ problems staying asleep‚ ha‎ving restless or unsatisfying sleep)
7. To what extent do worries and/or the signs of anxiety listed in question 6 interfere with your life? (For example your job‚ daily routine‚ social life or family life.)
0- Not at all‚ 2- Slightly‚ 4-Moderately‚ 6-Very Much‚ 8-Extremely
8. To what extent do your worries and/or the signs of anxiety listed in question 6 upset you or bother you?
0- Not at all‚ 2- Slightly‚ 4-Moderately‚ 6-Very Much‚ 8-Extremely
 
 
 
 
Dugas‚ M. J.‚ Freeston‚ M. H.‚ Doucet‚ C.‚ Lachance‚ S.‚ & Ladouceur‚ R. (1995). Structured versus free-recall measures: Effects on report of worry themes. Personality and Individual Differences‚ 18‚ 355-362.
Dugas‚ M. J.‚ Freeston‚ M.H.‚ & Ladouceur‚ R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research‚ 21‚ 593- 606.
 

Dugas‚ M. J.‚ Freeston‚ M. H.‚ Provencher‚ M.‚ Lachance‚ S.‚ Ladouceur‚ R.‚ & Gosselin. (2001). The Worry and Anxiety Questionnaire: Validation in nonclinical and clinical samples. Journal de Thérapie de Comportemetale et Cognitive‚ 11‚ 31-36.

Dugas‚ M. I.‚ Gagnon‚ F.‚ Ladouceur‚ R.‚ & Freeston‚ M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy‚ 36‚ 215-226.

Dugas‚ M. J.‚ Gosselin‚ P.‚ & Ladouceur‚ R. (2001). Intolerance of uncertainty and worry: investigating narrow specificity in a nonclinical sample. Cognitive Therapy and Research‚ 25‚ 551-558.

Ladouceur‚ R.‚ Dugas‚ M. I.‚ Freeston‚ M. H.‚ Léger‚ Eliane‚. Gagnon‚ Fabien.‚ Thibodeau‚ Nicole. (1998). Efficacy of a Cognitive—Behavioral Treatment for Generalized Anxiety Disorder Evaluation in a Controlled Clinical Trial.