GAD-7-Adult Patient Name(Required) First Last Today's Date(Required) MM slash DD slash YYYY Email(Required) Over the last 2 weeks, how often have you been bothered by any of the following problems?Feeling nervous, anxious or on edge(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Not being able to stop or control worrying(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Worrying too much about different things(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Trouble relaxing(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Being so restless that it is hard to sit still(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Becoming easily annoyed or irritable(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Feeling afraid as if something awful might happen(Required) Not at all 0 Several days 1 More than half the days 2 Nearly every day 3 Severity Score:Signature
