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Three Harbours Medical Group

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Anxiety Disorder Assessment (GAD-7)

Anxiety Disorder Assessment (GAD-7)

Anxiety Disorder Assessment (GAD-7)

Your Details

Name *

Date of Birth *

GAD 7

Over the last 2 weeks how often have you been bothered by the following problems?

Feeling nervous, anxious or on edge *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Not being able to stop or control worrying *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Worrying too much about different things *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Trouble Relaxing *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Being so restless that it is hard to sit still *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Becoming easily annoyed or irritable *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Feeling afraid as if something awful might happen *

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

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Page last reviewed: 04 May 2023
Page created: 20 May 2024

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