GAD-7
Please take some time to respond to the questions below. This will help us determine the best course of treatment for you.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Over the last two weeks how often have you been bothered by the following problems?
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 is hard to sit still
6. Becoming easily annoyed or irritable
7. Feeling afraid as if something awful might happen
Total
Submit
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