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Gad 7

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General Anxiety Disorder (GAD-7)

NAME DATE

1. Over the last 2 weeks, how often have you been bothered by Not at Several Over half Nearly
the following problems? all sure days the days every day

Feeling nervous, anxious, or on edge 0 1 2 3

Not being able to stop or control worrying 0 1 2 3

Worrying too much about different things 0 1 2 3

Trouble relaxing 0 1 2 3

Being so restless that it's hard to sit still 0 1 2 3

Becoming easily annoyed or Irritable 0 1 2 3

Feeling afraid as if something awful might happen 0 1 2 3

Add the score for each column

TOTAL SCORE (add your column scores)

Not
difficult Somewhat Very Extremely
at all difficult difficult difficult

2. If you checked off any problem on this questionnaire so far,


how difficult have these problems made it for you to do 0 1 2 3
your work, take care of things at home, or get along with
other people?

Scoring Add the results for question number one through seven to get a total score.
If you score 10 or above you might want to consider one or more of the following:
1. Discuss your symptoms with your doctor,
2. Contact a local mental health care provider or
3. Contact my office for further assessment and possible treatment.
Although these questions serve as a useful guide, only an appropriate licensed health professional can make the
diagnosis of Generalized Anxiety Disorder.
A score of 10 or higher means significant anxiety is present. Score over 15 are severe.

GUIDE FOR INTERPRETING GAD-7 SCORES


Scale Severity
0-9 None to mild
10-14 Moderate
15-21 Severe
GAD-7 developed by Dr. Robert L. Spitzer, Dr. K. Kroenke. et.al.

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