GAD-7 Anxiety

GAD-7 Anxiety

Please be sure to fill out the entire form and press the "Submit" button at the end
Name
Date

MonthDayYear
Date

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

Rows	0	1	2	3
Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Worrying too much about different things
Trouble relaxing
Being so restless that it is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid, as if something awful might happen

Total Score
If you checked any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?
Source: Primary Care Evaluation of Mental Disorders Patient Health Questionnaire (PRIME-MD-PHQ The PHQ was developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke, and colleagues. For research information, contact

Dr. Spitzer at ris8@columbia.edu. PRIME-MD® is a trademark of Pfizer Inc. Copyright© 1999 Pfizer Inc.
Should be Empty: