• NYC MEDICAL & NEUROLOGICAL OFFICES, P.C.

  • 91-31 Queens Blvd #601, Elmhurst, NY 11373

  • GENERALIZED ANXIETY DISORDER-7 (GAD-7)

  • Validated Anxiety Screening Questionnaire
  • Date of Birth*
     - -
  • Date*
     - -

  • Patient Instructions

  • Please answer each question based on how you have felt during the LAST TWO WEEKS. Select ONE response for each question.
  • Patient Instructions
    0 1 2 3
    Not at all Several days More than half the days Nearly every day

  • Question

  • 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*

  • Functional Impairment

  • If you checked any problems above, how difficult have these problems made it for you to work, take care of things at home, or get along with others?
  • Difficulty Level*

  • John P. Casas, M.D. | Board Certified Psychiatrist - ABPN

  • Source: Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-1097.
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