GAD-7 Anxiety Assessment Form

GAD-7 Anxiety Assessment Form

Please complete this form to help assess your current anxiety levels using the GAD-7 questionnaire.
Instructions: Over the last 2 weeks, how often have you been bothered by the following problems? Please answer each item.

GAD-7 Items

Rows	Not at all	Several days	More than half the days	Nearly every day
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's hard to sit still
Becoming easily annoyed or irritable
Feeling afraid, as if something awful might happen

I understand that this form is for self-assessment purposes only and does not provide a diagnosis. I consent to my responses being used for assessment and follow-up by a qualified professional if necessary.
Calculation
Your Anxiety Score: {calculation}

What Your GAD7 Score Means

0–4 - Minimal Anxiety

Symptoms are within normal range and typically not clinically significant.

5–9 - Mild Anxiety

Some anxiety symptoms present; monitoring or basic coping strategies may help.

10–14 - Moderate Anxiety

Clinically relevant anxiety; further evaluation or treatment may be appropriate.

15–21- Severe Anxiety

High anxiety levels; clinical assessment and treatment are strongly recommended.

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Important Disclaimer: The GAD-7 score is a screening tool designed to help identify possible symptoms of anxiety. It is not a formal diagnosis and should not replace evaluation by a qualified healthcare professional. If your score suggests moderate or severe anxiety, consider discussing the results with a licensed clinician for proper assessment and guidance.
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