GAD-7 Anxiety

GAD-7 Anxiety

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

First NameLast Name
Date*

MonthDayYear
Date

Over the last two weeks, how often have youbeen bothered by the following problems? *

	Not at all	Several days	More than half the days	Nearly every day
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

Column totals
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? *
Scoring GAD-7 Anxiety Severity
This is calculated by assigning scores of 0, 1, 2, and 3 to the response categories, respectively,
of “not at all,” “several days,” “more than half the days,” and “nearly every day.”
GAD-7 total score for the seven items ranges from 0 to 21.
0–4: minimal anxiety
5–9: mild anxiety
10–14: moderate anxiety
15–21: severe anxiety
Should be Empty: