Anxiety Symptoms
  Self-Assessment
  Anxiety Video
 
Learn More About Currently Enrolling Studies

Antidepressant-Induced Sexual Dysfunction

Bipolar Disorder

Depression

Diabetes

Juvenile Fibromyalgia

Pediatric Depression

Treatment Resistant Depression
 

 

Anxiety Self-Assessment

Take this short survey by selecting "Yes" or "No" after each of the following statements:

Feeling keyed-up, on edge or restless
Yes
No
Feeling stressed most of the time
Yes
No
Having trouble sleeping
Yes
No
Feeling fatigued
Yes
No
Having trouble concentrating or mind goes blank
Yes
No
Feeling irritable, can't relax or uptight
Yes
No
Noticing heart beating fast or muscle tension
Yes
No
Feeling worried, anxious or fearful
Yes
No

If you checked 3 or more "Yes" boxes, you may be suffering from anxiety.

Summit Research Network participates in research studies of investigational medication for anxiety. If you are selected, all research-related care and study medications will be provided at no cost. If you would like more information, please call us at (206) 292-CARE (2273), or fill out the form below and we will contact you.

All information you may provide is stored in a secure site, and cannot be released to any third party without your written and signed authorization.

Last Name*:
First Name*:
(Area Code) and Phone*:
Cell Phone:
May we text you? Yes No  
Best Time to Call:
Email:
If you would like to schedule an appointment now, please fill in the following information. Appointments are available Monday-Thursday, 8:30 a.m. to 5:00 p.m. Please send us the best day and time to schedule an appointment for you and we will contact you with an appointment confirmation:
First choice day/time for appointment:
Second choice day/time for appointment:
 
Note: We will respond to your email within 2 business days. If you have not received a response within that time, please check the Spam folder in your email program.
How did you hear about us? TV Radio Print Google
Web Search Craigslist CenterWatch
ClinicalConnection Referral Other

* required fields

 

washington@summitnetwork.com

 
Home |  Conditions We Study |  About Summit |  Feedback |  Contact