Generalised Anxiety Disorder Assessment (GAD-7)

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

Generalised Anxiety Disorder Assessment (GAD-7)

Patient Details

Please use 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? *
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? *