This disclosed 20-item SAS-style anxiety proxy keeps the familiar response scale and score conversion while using original wording instead of the restricted official questionnaire text.

  • Answer from the recent stretch rather than one best or worst day.
  • The result stays on the familiar raw 20 to 80 score and 25 to 100 SAS-style index.
  • Use it as a structured self-check or follow-up aid, not a diagnosis.
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Answer from the recent stretch, not a single best or worst day.
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Share result

Share this result page with someone you trust to review your answers and result.

What this result suggests

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Current score lanes and cutoff context

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Lane Index range How to read it Copy
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Highest-signal items
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Recommended next actions

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Do now
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Monitor
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Bring into follow-up
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Seek support sooner if
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Higher-scored and steadier anchors
Comparison Higher-scored now Steadier anchor now Copy
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When to seek support

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Answer review
# Domain Prompt Answer Keyed score Copy
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Tags: Diagnostics, Psychology, Psychometrics
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Anxiety often becomes hard to judge when the recent pattern is mixed. One day may be dominated by worry, another by a tight chest or restless body, and another by poor sleep after the stressful moment has passed. A self-rating scale gives those scattered clues a common answer frame so the result is not based only on the most memorable spike.

The Self-Rating Anxiety Scale tradition uses symptom frequency rather than a simple yes-or-no judgment. It asks how often anxiety-related experiences have appeared across a recent period, keys some items in the opposite direction, and converts the total into an index. That structure is useful for reflection and follow-up because it separates the amount of current strain from the story a person may tell about why it is happening.

Several signals can sit under the word anxiety, and they do not always rise together. A person can feel mentally on guard without many body symptoms, or have strong body alarm before naming a clear worry. Recovery matters too, because anxiety is not only the surge itself; it is also how long the system stays activated afterward.

Signal area Common form Useful caution
Anticipatory worry Threat rehearsal, mental scanning, or difficulty shutting worry off. High worry can reflect real stress, but repeated forecasting may outlast the facts available.
Body alarm Breath, heart, stomach, trembling, heat, startle, or exposure-related surges. New, severe, changing, or unexplained physical symptoms need medical judgment, not self-labeling.
Tension and restlessness Feeling wound up, unable to settle, or switched on late in the day. Muscle tension and agitation can be amplified by sleep loss, caffeine, deadlines, or illness.
Recovery strain Slow calming, disrupted sleep, poor focus after stress, or difficulty loosening tension. Weak recovery can make a moderate stressor feel larger because the body never fully resets.

A score is most useful when it is read beside the situation that shaped the answers. Waiting for medical results, a medication change, grief, trauma exposure, unfamiliar public settings, conflict, and sustained workload can all change the pattern. Repeating a self-rating can help only when the same recent window and the same answer standard are used each time.

Self-rating anxiety score flow from 20 answers to keyed total, 25 to 100 index bands, and four symptom domains

The index should never be asked to answer more than it can. It can name a pattern and make a follow-up conversation easier, but it cannot rule out medical causes, diagnose an anxiety disorder, or decide whether someone is safe. Chest pain, trouble breathing, fainting, new weakness, severe stomach symptoms, immediate danger, or thoughts of self-harm require qualified help rather than another questionnaire.

A SAS-style proxy is a disclosed approximation. It mirrors the broad scoring idea while using original wording and local domain summaries, so the result belongs in private reflection, journaling, or clinician discussion rather than official Zung Self-Rating Anxiety Scale reporting.

How to Use This Tool:

Use one recent stretch for the whole assessment, then read the index beside the domain and item details before saving or sharing anything.

  1. Select Start assessment after choosing the period you want to rate. Keep that same period in mind for all 20 prompts.
  2. Answer each item with Rarely or not at all, Sometimes, Often, or Most of the time. Recovery-oriented items are keyed in the opposite direction automatically.
  3. Use the progress label and question navigator if the result does not appear. The result view is hidden until the progress reaches 20 / 20 answered.
  4. Start with Anxiety index, Raw score, Overall lane, and Cutoff context. These tell you where the current run sits on the 25 to 100 index.
  5. Check Top area, Highest-signal items, and Higher-scored and steadier anchors before deciding what the number means.
  6. If you use Copy result link, share it only with someone you trust. A completed result link can include the answers needed to rebuild the result.

Interpreting Results:

The Anxiety index is the broad signal. The Top area and Highest-signal items explain what pushed the score upward. A result near a boundary should be read with extra care because one or two answer changes can move the run into a neighboring lane.

A higher score does not prove an anxiety disorder, and a lower score does not prove that anxiety is unimportant. Compare the lane with the answer review, recent sleep, physical health, stressors, avoidance, panic-like surges, and how much daily life is affected.

Overall lane Index range How to read it
Everyday range 25 to 44 Below the 45 review cue. Anxiety may still be present, especially if one domain is high.
Elevated 45 to 59 At or above the classic review cue used by this proxy. Review examples and recent triggers.
Marked elevation 60 to 74 A broader signal that usually deserves fuller follow-up rather than repeated self-scoring alone.
Very high strain 75 to 100 A strong support cue, especially when sleep, concentration, work, school, relationships, or safety are affected.

Technical Details:

SAS-style scoring uses a fixed 20-item response pattern. Each answer has a value from 1 to 4. Direct anxiety items keep that value, while recovery items are reverse-scored so stronger recovery lowers the anxiety-load total. The keyed item scores are summed into a raw total from 20 to 80.

The index is a rescaled version of the raw total. Dividing by the maximum raw score of 80 and multiplying by 100 places the result on a 25 to 100 frame. That conversion is easy to misread because a raw score and an index score can use different numbers for the same run. In this proxy, the displayed Anxiety index is the rounded 25 to 100 value, and Raw score stays on the 20 to 80 frame.

Formula Core

R=∑i=120si si=ai for direct anxiety items si=5-ai for recovery items I=round(R80×100)

Here ai is one 1 to 4 answer, si is its keyed score, R is the raw keyed total, and I is the displayed anxiety index. A raw total of 36 becomes 45, 48 becomes 60, and 60 becomes 75.

Scoring element Rule Range
Answer value Each selected frequency answer is valued from 1 to 4. 1 to 4
Direct item Keyed score equals the selected answer value. 1 to 4
Recovery item Keyed score equals 5 - answer value. 1 to 4
Raw score Sum of all 20 keyed item scores. 20 to 80
Anxiety index Rounded raw score divided by 80 and multiplied by 100. 25 to 100

Domain Burden Core

Each local domain contains five items. Domain burden converts that five-item keyed total to a 0 to 100 percentage so the four areas can be compared on the same scale. These domains are local summaries for this proxy, not formal official SAS subscales.

B=round(D-515×100)
Local domain Items Higher burden suggests
Anticipatory worry 1, 2, 3, 4, 19 More threat forecasting, mental scanning, and worry that is hard to shut off.
Body alarm 6, 7, 8, 9, 18 More physical activation through breath, heart, stomach, trembling, heat, or exposure-related alarm.
Tension and restlessness 11, 12, 13, 14, 20 More internal tension, restlessness, and difficulty downshifting.
Recovery strain 5, 10, 15, 16, 17 More trouble settling, sleeping, loosening tension, or regaining focus after stress.

Responsible Use Note:

Use the result as a self-report cue, not as proof of a diagnosis or the absence of one. Seek urgent help for immediate safety concerns, call emergency services for life-threatening symptoms, and get medical care for new, severe, changing, or unexplained physical symptoms. Professional follow-up is especially important when anxiety affects sleep, daily function, relationships, school, work, avoidance, panic-like surges, or safety.

Worked Examples:

Close to the review cue. A person answers all 20 items and gets a Raw score of 35/80. The Anxiety index is 44/100, so Overall lane remains Everyday range. If Top area is Anticipatory worry, worry still deserves attention even though the index is one point below 45.

At the elevated boundary. A Raw score of 36/80 converts to an Anxiety index of 45/100. The Overall lane becomes Elevated. The better follow-up question is which examples appear in Highest-signal items, not whether the result barely crossed the boundary.

Body alarm leading the run. A Raw score of 48/80 converts to 60/100, which enters Marked elevation. If Top area is Body alarm, read the score beside sleep, caffeine, illness, medication changes, panic-like surges, and medical context.

Missing answer. If the progress label says 19 / 20 answered, the result view stays hidden. Open the question navigator, answer the missing item, then review Anxiety index, Cutoff context, and Answer review.

FAQ:

Is this the official Zung SAS?

No. It is a disclosed SAS-style proxy with original item wording, SAS-style scoring math, local domains, and proxy guidance. Do not report the result as an official Zung Self-Rating Anxiety Scale score.

Why does the index start at 25?

The lowest possible Raw score is 20. The index formula divides the raw score by 80 and multiplies by 100, so a raw score of 20 becomes an Anxiety index of 25.

What if body symptoms are my highest items?

A high Body alarm area means physical activation carried more of the proxy score. It does not prove anxiety is the only cause of breathing, chest, stomach, trembling, heat, dizziness, or exposure-related symptoms.

Why does no result appear?

The result appears only after all 20 items are answered. Check the progress label, use the question navigator to find the missing item, and make sure every prompt has one of the four frequency answers selected.

Are my answers sent to a scoring server?

Scoring runs in your browser after the page loads. A copied result link or downloaded export can include completed answers, so treat saved links and files as private health notes.

Glossary:

SAS
Self-Rating Anxiety Scale, the scoring tradition this disclosed proxy mirrors without reproducing the official questionnaire text.
Raw score
The 20 to 80 sum of all keyed item scores before conversion to the index.
Anxiety index
The rounded 25 to 100 score converted from the raw score.
Reverse-scored item
A recovery-oriented item keyed so stronger recovery lowers the anxiety-load score.
Domain burden
A local 0 to 100 percentage for one five-item domain.
Review cue
A threshold that suggests closer follow-up, not a diagnosis by itself.

References: