GAD-7

Over the last 2 weeks, how often have you been bothered by the following problems?*

	Not at all - 0	Several days - 1	Over half the days - 2	Nearly every day - 3
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

Score for each column:

	Not at all - 0	Several days - 1	Over half the days - 2	Nearly every day - 3
Scores:

Total Score:
If you check 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 allSomewhat difficultVery difficultExtremely difficult
Source: Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder. Arch Inern Med. 2006; 166: 1092-1097.
For Provider Scoring:

>10 = Possible diagnosis of GAD; confirm by further evaluation

5 = Mild Anxiety

10 = Moderate Anxiety

15 = Severe Anxiety
Provider Notes:
Should be Empty:

GAD-7 Scale