GAD-7

1
Name
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Date
Date
Day
Month
Year
4
1. Feeling nervous, anxious or on edge* This field is required.drop down
5
2. Not being able to stop or control worrying* This field is required.drop down
6
3. Worrying too much about different things* This field is required.drop down
7
4. Trouble relaxing* This field is required.drop down
8
5. Being so restless that it is hard to sit still* This field is required.drop down
9
6. Becoming easily annoyed or irritable* This field is required.drop down
10
7. Feeling afraid as if something awful might happen* This field is required.drop down
Should be Empty: