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Los Gatos Doc-- GAD-7--Questionnaire
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First Name
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Your answer
Last Name
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Your answer
Date of Birth
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MM
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DD
/
YYYY
Feeling nervous, anxious, or on edge
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Choose
Not at all
Several days
More than half the days
Nearly every day
Not being able to stop or control worrying
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Not at all
Several days
More than half the days
Nearly every day
Worrying too much about different things
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Not at all
Several days
More than half the days
Nearly every day
Trouble relaxing
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Not at all
Several days
More than half the days
Nearly every day
Being so restless that it's hard to sit still
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Not at all
Several days
More than half the days
Nearly every day
Becoming easily annoyed or irritable
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Not at all
Several days
More than half the days
Nearly every day
Feeling afraid as if something awful might
happen
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Not at all
Several days
More than half the days
Nearly every day
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