13. GAD7 Complex Trauma Assessment

GAD7 Generalized Anxiety Disorder

Measures the severity of anxiety
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate of birth
Select your therapist
GAD-7: Measures symptoms of anxiety

Over the last two weeks, how often have you been bothered by the following problems?

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?
Should be Empty: