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aPPENDIX 5.5 (page 2 of 2)
Physical Sensation absent Slight Moderate Severe
Very
Severe
Difficulty taking a deep breath,
shortness of breath
Throat feels constricted (like
you could choke)
Chest tightness
Chest pain
Heart pounding, palpitations
Heart skipping a beat
Trembling, shaky
Feeling restless, fidgety
Feelings of unreality
Muscle twitches
Dizziness
Feeling lightheaded
Feeling faint
Unsteady, loss of balance
Hot flushes or chills
Sweating
other sensations (state):