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Anxiety Assessment

The Generalized Anxiety Disorder 7 (GAD-7) is a self-administered questionnaire to measure the severity of anxiety.

Personal Information

Your Name

Sex

Male Female

Date of Birth

Address

Assessment Test

Over the last 2 weeks, how often have you been bothered by the following problems?
Feeling nervous, anxious or on edge Not at all Several days More than half the days Nearly every day
Not being able to stop or control worrying Not at all Several days More than half the days Nearly every day
Worrying too much about different things Not at all Several days More than half the days Nearly every day
Trouble relaxing Not at all Several days More than half the days Nearly every day
Being so restless that it is hard to sit still Not at all Several days More than half the days Nearly every day
Becoming easily annoyed or irritable Not at all Several days More than half the days Nearly every day
Feeling afraid as if something awful might happen Not at all Several days More than half the days Nearly every day

Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.