Generalized Anxiety Disorder 7 (GAD-7)
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Name *
DOB *
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DD
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YYYY
Over the last 2 weeks, how often have you been bothered by the following problems...
Feeling nervous, anxious, or on edge? *
Not being able to stop or control worrying? *
Worrying too much about different things? *
Trouble relaxing? *
Being so restless that it is hard to sit still *
Becoming easily annoyed or irritable *
Feeling afraid, as if something awful might happen *
If you checked any problems above, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?
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