Name
*
First Name
Last Name
Generalised Anxiety Disorder (GAD) 7-item scale
To help us better understand your symptoms of anxiety, please use the rating scale of 0 = Not at all 1 = Several days 2 = Most of the days 3 = Nearly every day
Feeling nervous, anxious or on edge
0
1
2
3
Not being able to stop or control worrying
0
1
2
3
Worrying too much about different things
0
1
2
3
Trouble relaxing
0
1
2
3
Being so restless that it is hard to sit still
0
1
2
3
Becoming easily annoyed or irritable
0
1
2
3
Feeling afraid as if something awful might happen
0
1
2
3
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? (please type answer)
Not difficult at all / Somewhat difficult / Very difficult / Extremely difficult
Please verify that you are human
*
Score and Submit my answers
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