STAI

Jeff Baker, Ph.D. - Chief Psychologist (APC) - (409) 747-2250

State-Trait Anxiety Inventory (Form Y)
Developed by Charles Spielberger, Ph.D. Special permission was given by Dr. Spielberger on 11/13/2007 to use this form online. This is intended for classroom purposes only.

Each STAI Item is given a weighted score of 1-4. A rating of 4 indicates the presence of a high level of anxiety for ten S-Anxiety items and eleven T-Anxiety items for the remaining ten S-Anxiety items and nine T-Anxiety items. Scoring is reversed on S-Anxiety items #1, 2, 5, 8, 10, 11, 15, 16, 19, 20 and T-Anxiety items #21, 23, 26, 27, 30, 33, 34, 36, 39. Add the weighted scores for the twenty items that make up each scale, taking into account the fact that the scores are reversed for the above items. Scores for both the S-Anxiety and the T-Anxiety scales can vary from a minimum of 20 to a maximum of 80. Be sure to reverse (1=4, 2=3, 3=2, 4=1) questions that are bolded. S-Anxiety Total=1-20 and T-Anxiety Total=21-40.

Patients Birth Year:

Ethnicity:  Gender:
Age:
Date Administered:

1=Not At All 2=Somewhat 3=Moderately So 4=Very Much So

How Do you feel RIGHT NOW, at this moment:	S-Anxiety
1. I feel calm	R
2. I feel secure	R
3. I am tense
4. I feel strained
5. I feel at ease	R
6. I feel upset
7. I am presently worrying over possible misfortunes
8. I feel satisfied	R
9. I feel frightened
10. I feel comfortable	R
11. I feel self-confident	R
12. I feel nervous
13. I am jittery
14. I feel indecisive
15. I am relaxed	R
16. I feel content	R
17. I am worried
18. I feel confused
19. I feel steady	R
20. I feel pleasant	R
Total S-Anxiety Score	TOTAL

1=Not At All 2=Somewhat 3=Moderately So 4=Very Much So
HOW DO YOU GENERALLY FEEL:
21. I feel pleasant	R
22. I feel nervous and restless
23. I feel satisfied with myself	R
24. I wish I could be as happy as others seem to be
25. I feel like a failure
26. I feel rested	R
27. I am "calm, cool, and collected"	R
28. I feel that difficulties are piling up so that I cannot overcome them
29. I worry too much over something that really doesn't matter
30. I am happy	R
31. I have disturbing thoughts
32. I lack self-confidence
33. I feel secure	R
34. I make decisions easily	R
35. I feel inadequate
36. I am content	R
37. Some unimportant thought runs through my mind and bothers me
38. I take disappointments so keenly that I can't put them out of my mind
39. I am a steady person	R
40. I get in a state of tension or turmoil over my recent concerns and interests

Total T-Anxiety* Score:*	TOTAL