menu trigger
menu trigger
Home
Services
Child, Adolescents&Adult psychiatry
Psychology
For Patients
Client Portal
Insurance
Medication Refill
Forms And Notices
Telehealth
FAQ
Careers
MD
NP
Psychologist
Contact US
Privacy Policy
Please enable JavaScript in your browser to complete this form.
GAD-7 Anxiety
delivered through
Name
*
First
Last
Date of birth
Today's date
Feeling nervous, anxious, or on edge
0. Not at all
1. Several days
2. More than half the days
3. Nearly every day
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
Worrying too much about different things
0. Not at all
1. Several days
2. More than half the days
3. Nearly every day
Trouble relaxing
0. Not at all
1. Several days
2. More than half the days
3. Nearly every day
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
Becoming easily annoyed or irritable
0. Not at all
1. Several days
2. More than half the days
3. Nearly every day
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
Submit
Copyright by Brain Health USA 2019. All rights reserved.
