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Breathing Test

Breathing Test

Breathing Test Questionnaire

Nijmegan Questionnaire. 16 brief questions evaluating breathing disfunction related to stress, respiration and anxiety covering the last month. It takes around 5 minutes.
Reference: van Dixhoorn, J. & Folgering, H. (2015). The Nijmegan Questionnaire and dysfunctional breathing. ERJ Open Research 2015 1

Breathing Test Questionnaire

If you are human, leave this field blank.

Breath hold time

The number of seconds that you were able to hold your breath in the previous test.

In the last month (30 days) have you suffered from any of the following?

1. Chest pain

Never

Rare

Sometimes

Often

Very Often

2. Feeling tense

Never

Rare

Sometimes

Often

Very Often

3. Blurred vision

Never

Rare

Sometimes

Often

Very Often

4. Dizzy spells

Never

Rare

Sometimes

Often

Very Often

5. Feeling confused

Never

Rare

Sometimes

Often

Very Often

6. Faster or deeper breathing

Never

Rare

Sometimes

Often

Very Often

7. Short of breath

Never

Rare

Sometimes

Often

Very Often

8. Tight feeling in chest

Never

Rare

Sometimes

Often

Very Often

9. Bloated feeling in stomach

Never

Rare

Sometimes

Often

Very Often

10. Tingling fingers

Never

Rare

Sometimes

Often

Very Often

11. Unable to breath deeply

Never

Rare

Sometimes

Often

Very Often

12. Stiff fingers or arms

Never

Rare

Sometimes

Often

Very Often

13. Tight feelings around mouth

Never

Rare

Sometimes

Often

Very Often

14. Cold hands or feet

Never

Rare

Sometimes

Often

Very Often

15. Palpitations

Never

Rare

Sometimes

Often

Very Often

16. Feelings of anxiety

Never

Rare

Sometimes

Often

Very Often

Total Score

Date

Email *

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