| 0 None | 1 Mild | 2 Moderate | 3 Severe |
---|---|---|---|---|
Palpitations/fast or irregular heartbeats | 0 | 1 | 2 | 3 |
Heart flutters | 0 | 1 | 2 | 3 |
Extra heart beats/missed heart beats | 0 | 1 | 2 | 3 |
Fatigue/no energy | 0 | 1 | 2 | 3 |
Dizziness/light-headedness/feeling faint | 0 | 1 | 2 | 3 |
Hard to catch breath/short of breath | 0 | 1 | 2 | 3 |
Chest pressure as heart is racing | 0 | 1 | 2 | 3 |
Headache/migraine | 0 | 1 | 2 | 3 |
Trouble concentrating | 0 | 1 | 2 | 3 |
Neck pounding/neck pain/neck discomfort | 0 | 1 | 2 | 3 |
Passing out/fainting/blackouts | 0 | 1 | 2 | 3 |
Trouble sleeping | 0 | 1 | 2 | 3 |
Tiredness/sleepiness | 0 | 1 | 2 | 3 |
Nausea/vomiting | 0 | 1 | 2 | 3 |
Anxiety/fear/worry | 0 | 1 | 2 | 3 |