International Anxiety Questionnaire (IAQ)
Record IAQ anxiety symptoms over several months and review the 0–32 severity total alongside the published diagnostic-rule conditions.{{ summaryTitle }}
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Anxiety becomes clinically important when worry or apprehension persists, appears on more days than not, is accompanied by other symptoms, and causes significant distress or disruption. A brief self-report can organize those features, but it cannot determine the full cause of the symptoms or replace a clinical assessment.
The International Anxiety Questionnaire (IAQ) asks about eight experiences over the last several months. The first two cover nervousness or anxiety and worry about different things. The other six address physical tension, bodily arousal, feeling on edge, concentration difficulty, irritability, and sleep disturbance. A separate yes-or-no question records whether these experiences have caused problems in important areas of life.
Two outputs answer different questions. The 0 to 32 severity total summarizes how frequently the eight symptoms were reported. The diagnostic-rule trace checks whether the response pattern meets three published conditions: at least one essential symptom is endorsed, at least four symptoms are endorsed in total, and functional impairment is reported.
The source proposes no cutoff for the severity total. A larger sum indicates more frequent symptoms, but it does not by itself establish generalized anxiety disorder. Meeting the rule is also not a diagnosis because a self-report does not evaluate alternative explanations, exclusions, duration in full clinical context, or other information a qualified professional would consider.
Persistent anxiety can be exhausting and can overlap with physical illness, medication effects, substance use, sleep problems, trauma, depression, and other conditions. Use the result as a structured record for reflection or discussion, not as a reason to delay care when symptoms are worsening or interfering with daily life.
How to Use This Tool:
Answer for the last several months and choose the frequency that best represents the overall period.
- Select Start assessment and rate each of the eight symptom questions from Never to Every day.
- Answer the final functional-impairment question with Yes only when the experiences caused problems in personal, family, social, educational, occupational, or another important area.
- Complete all nine prompts. If the result does not appear, return to the item navigator and find the unanswered prompt.
- Read the IAQ severity total and Diagnostic-rule status separately, then review the listed rule conditions before deciding what the result means.
Interpreting Results:
The severity total is a continuous symptom-frequency sum from 0 to 32. It has no published pass/fail threshold. The position chart shows where the sum falls within the possible range, not where it falls relative to other people.
Rule pattern met means all three source-published conditions are present in the answers. Rule pattern not met means at least one condition is absent. Neither result settles a diagnosis: a met pattern needs qualified review, while a pattern that is not met does not rule out meaningful distress, another anxiety presentation, or a need for support.
- Check the endorsed symptom count and whether Item 1 or Item 2 met the essential-symptom condition.
- Check functional impairment separately; it is required by the rule but is not added to the 0 to 32 severity total.
- Seek qualified help when anxiety persists, worsens, or disrupts daily functioning, regardless of the rule label.
Technical Details:
Each symptom response uses a literal code from 0 to 4: Never, Only a few days, Half the days, Most days, or Every day. The eight codes are summed without reverse scoring. The separate functional-impairment response is binary and does not contribute points to severity.
Formula Core:
The severity score preserves the frequency coding of all eight symptom items.
| Response | Code | Counts as endorsed? |
|---|---|---|
| Never | 0 | No |
| Only a few days | 1 | No |
| Half the days | 2 | No |
| Most days | 3 | Yes |
| Every day | 4 | Yes |
Rule Core:
A symptom is endorsed when its code is at least 3. The diagnostic-rule trace is true only when all three conditions below are true.
| Condition | Exact rule |
|---|---|
| Essential symptom | Item 1 or Item 2 has a response code of 3 or 4. |
| Symptom count | At least 4 of the 8 symptom items have a response code of 3 or 4. |
| Functional impairment | The separate impairment question is answered Yes. |
Clinical Limits and Privacy:
The IAQ is a self-report measure, not a diagnostic interview. It does not check medical causes, substance or medication effects, other mental-health conditions, developmental history, cultural context, or the full ICD-11 exclusion and duration requirements. Do not use it alone for treatment, employment, eligibility, or safety decisions.
The current responses remain in browser memory. A copied result link contains all eight symptom responses and the functional-impairment answer in an encoded URL fragment. The fragment is not encrypted or access-controlled, so share it only with someone trusted to receive personal health information.
Starting a new session clears the in-memory responses and removes the fragment. If symptoms are severe, rapidly worsening, or making daily life hard to manage, seek timely help from a qualified health professional even when the rule pattern is not met.
References:
- The development and initial validation of the International Depression Questionnaire and International Anxiety Questionnaire, Journal of Clinical Psychology, 2023.
- International Anxiety Questionnaire, International Trauma Consortium.