Generalized Anxiety Disorder Scale

Generalized Anxiety Disorder 7-item Scale (GAD-7)
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Today's Date*

MonthDayYear
Date
Over the last 2 weeks, how often have you been bothered by any of the following problems?
1. Feeling nervous, anxious, or on edge*

Not at allSeveral DaysOver half the daysNearly every day
2. Not being able to stop or control worrying*

Not at allSeveral DaysOver half the daysNearly every day
3. Worrying too much about different things*

Not at allSeveral DaysOver half the daysNearly every day
4. Trouble relaxing*

Not at allSeveral DaysOver half the daysNearly every day
5. Being so restless that it's hard to sit still*

Not at allSeveral DaysOver half the daysNearly every day
6. Becoming easily annoyed or irritable*

Not at allSeveral DaysOver half the daysNearly every day
7. Feeling afraid as if something awful might happen*

Not at allSeveral DaysOver half the daysNearly every day
If you checked 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?*
Total Score:*

Scoring Guidelines:

Generalized Anxiety Disorder 7-item Scale (GAD-7)