GAD7 Generalized Anxiety Disorder
Measures the severity of anxiety
Name
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First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date of birth
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Bailey Belknap
Ingrid Benyaminowich
Leah Berdysz
Hannah Bickers
Megan Campagna
Eric Clontz
Aida Diallo
Jenny Eller
Lisa Evans
Scott Fralick
Jessica Glover
Lauren Greenberg
Elizabeth Gunther
Melissa Grooms
Pamela Hirt
Kelsey Hoisington
Jessica Jung
Nellimaria LaValle
Liz Mannon
Caitlin Martin
Sara Matlack
Christal Mendenhall
Gina Menninger
Katherine Mullin
Marshall L. Myers
Sara Napp
Anne Price
Jordan Redman
Amber Riley
Jodi Robertson
Hillary Schmidt
Jenifer Sparks-Schaffner
Linda Strapp
Kiera Tigner
MK Wright
GAD-7:
Measures symptoms of anxiety
Over the last two weeks, how often have you been bothered by the following problems?
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Rows
Not sure at all (0) points each
Several days (1) point each
Over half the days (2) points each
Nearly every day (3) points each
1. Feeling nervous, anxious, or on edge
2. Not being able to stop or control worrying
3. Worrying too much about different things
4. Trouble relaxing
5. Being so restless that it's hard to sit still
6. Becoming easily annoyed
7. Feeling afraid as if something awful might happen
GAD-7, total score
If you checked off any problems in the above table, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?
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Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
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