GAD-7 Anxiety – Brain Health USA

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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

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Brain Health USA Center treats adults and children with depression, anxiety, ADHD, bipolar disorder, schizophrenia, autism, down syndrome, drug abuse, and PTSD.

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