David Howard - Psychologist
Psychology Practice

GAD-7 Questionnaire



My Name:
Street Address:
Phone Number:
Email Address:

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

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 or irritable
7   Feeling afraid as if something awful might happen
8   If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?