Generalised Anxiety Disorder Assessment (GAD-7)

If you have been advised by the surgery to submit a Generalised Anxiety Disorder Assessment (GAD-7) please use this form.

Generalised Anxiety Disorder Assessment

Patient Details

Please use this date format: DD/MM/YYYY

Over the last 2 weeks, how often have you been bothered by any of 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 is hard to sit still?
Becoming easily annoyed or irritable?
Feeling afraid as if something awful might happen?
Score Result
0-5 Normal
5-9 Mild Anxiety
10-14 Moderate Anxiety
15+ Severe Anxiety