GAD-7 – General Anxiety Disorder Questionnaire GAD-7: General Anxiety Disorder Questionnaire Contact DetailsName First Last Date of Birth DD slash MM slash YYYY Contact NumberHome Address Street Address Address Line 2 City Postcode QuestionnaireOver the last 2 weeks, how often have you been bothered by any of the following problems? Tick where appropriate.Feeling nervous, anxious, or on edge Not at all sure Several days Over half the days Nearly every day Not being able to stop or control worrying Not at all sure Several days Over half the days Nearly every day Worrying too much about different things Not at all sure Several days Over half the days Nearly every day Trouble relaxing Not at all sure Several days Over half the days Nearly every day Being so restless that it’s hard to sit still Not at all sure Several days Over half the days Nearly every day Becoming easily annoyed or irritable Not at all sure Several days Over half the days Nearly every day Feeling afraid as if something awful might happen Not at all sure Several days Over half the days Nearly every day Phone OptionalThis field is for validation purposes and should be left unchanged.
