GAD Test

1

Feeling nervous, anxious or on edge?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

2

Not being able to stop or control worrying?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

3

Worrying too much about different things?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

4

Trouble relaxing?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

5

Being so restless that it is hard to sit still?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

6

Becoming easily annoyed or irritable?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

7

Feeling afraid as if something awful might happen?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

8

Full Name* This field is required.

First Name

Last Name

9

Date of Birth* This field is required.

Date

10

Phone Number* This field is required.

Please enter a valid phone number.

11

Email* This field is required.

example@example.com

12

In which state are you currently residing?* This field is required.

13

Your score is