Generalised Anxiety Disorder (GAD-7) Assessment

If you have been advised by the surgery to submit a Generalised Anxiety Disorder Assessment, please use this form.

Generalised Anxiety Disorder (GAD-7)

Generalised Anxiety Disorder (GAD-7)

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

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

Feeling nervous, anxious, or on edge *
Not being able to stop or control worrying *
Worrying too much about different things *
Trouble relaxing *
Being so restless that it's hard to sit still *
Becoming easily annoyed or irritable *
Feeling afraid as if something awful might happen *

If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people? *
E.g. Monday AM/PM, Tuesday AM/PM