Generalized Anxiety Disorder Scale
GAD-7
Name
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Over the last 2 weeks, have you felt bothered by any of these things?
Rows
0-Not at all
1-Several Days
2-More than half of the days
3- Nearly Every Day
1. Feeling nervous, anxoius, or on edge?
2. Not being able to stop or control worrying?
3. Worry 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
Add up your score for each item selected: 0- for Not at all, 1-for Several Days, 2-for more than half of the days, 3-for nearly every day
If you check off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Not Difficult at all
1
2
3
4
Extremely difficult
5
1 is Not Difficult at all, 5 is Extremely difficult
Submit
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