GAD-7

Generalized Anxiety Disorder Scale
Name *

First Name Last Name

Over the last 2 weeks, how often have you been bothered by the following problems? Please select the appropriate number: 0 = not at all, 1 = several days, 2 = over half the days, 3 = nearly every day

1. Feeling nervous, anxious, or on edge

2. Not being able to stop or control worrying

3. Worrying too much about different things

4. Trouble relaxing

5. Being so restless that it's hard to sit still

6. Becoming easily annoyed or irritable

7. Feeling afraid as if something awful might happen

Total Score
If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?

Not difficult at all Somewhat difficult Very difficult Extremely difficult
Source: Spitzer RL, Kroenke K, Williams JBW, LoweB. A brief measure for assessing generalized anxiety disorder. Arch Inern Med. 2006; 166:1092-1097.
Should be Empty:

Generalized Anxiety Disorder Scale