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?

Score Result
0-5 Normal
5-9 Mild Anxiety
10-14 Moderate Anxiety
15+ Severe Anxiety