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Attention Heart (CAQ)
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I pay attention to my heart beat
*
Never
Seldom
Sometimes
Often
Always
I avoid physical exertion
*
Never
Seldom
Sometimes
Often
Always
My racing heart wakes me up at night
*
Never
Seldom
Sometimes
Often
Always
Chest pain/discomfort wakes me up at night
*
Never
Seldom
Sometimes
Often
Always
I take it easy as much as possible
*
Never
Seldom
Sometimes
Often
Always
I pay attention to my heart beat
*
Never
Seldom
Sometimes
Often
Always
I check my pulse
*
Never
Seldom
Sometimes
Often
Always
I avoid exercise or other physical work
*
Never
Seldom
Sometimes
Often
Always
I can feel my heart in my chest
*
Never
Seldom
Sometimes
Often
Always
I avoid activities that make my heart beat faster
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Never
Seldom
Sometimes
Often
Always
If tests come out normal, I still worry about my heart
*
Never
Seldom
Sometimes
Often
Always
I feel safe being around a hospital, physician, or other medical facility
*
Never
Seldom
Sometimes
Often
Always
I worry that doctors do not believe my chest pain/discomfort is real
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Never
Seldom
Sometimes
Often
Always
When I have chest discomfort or I feel my heart is beating fast... I worry that I may have a heart attack
*
Never
Seldom
Sometimes
Often
Always
When I have chest discomfort or I feel my heart is beating fast... I have difficulty concentrating on anything else
*
Never
Seldom
Sometimes
Often
Always
When I have chest discomfort or I feel my heart is beating fast... I get frightened
*
Never
Seldom
Sometimes
Often
Always
When I have chest discomfort or I feel my heart is beating fast... I like to be checked out by a doctor
*
Never
Seldom
Sometimes
Often
Always
When I have chest discomfort or I feel my heart is beating fast... I tell my family or friends
*
Never
Seldom
Sometimes
Often
Always
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