( jo) GAD-7

GAD-7 Anxiety Assessment

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Name *

First

Last

Email *

1. Over the last 2 weeks, how often have you been bothered by the following problems? *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

2. Not being able to stop or control worrying *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

3. Worrying too much about different things *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

4. Trouble relaxing *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

5. Being so restless that it is hard to sit still *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

6. Becoming easily annoyed or irritable *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

7. Feeling afraid as if something awful might happen *

(0) Not at all (1) Several days (2) More than half the days (3) Nearly every day

Total Score *

Please add together the numbers in brackets next to the options you have chosen.

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