GAD-7 - Alison Isaacs Therapy

Please complete this GAD-7 form if you have been asked to.

Name *

First

Last

Email *

ID Code (if known)

Have you felt nervous, anxious or on edge? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Have you not been able to stop or control worrying? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Are you worrying too much about different things? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Do you have trouble relaxing? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Have you been restless that it's hard to sit still? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Becoming easily annoyed or irritable? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Do you feel afraid as if something awful might happen? *

Over a 2 week period.
0=Not at all 1=Several days 2=More than half the days 3=Nearly every day

Phone

If you have also been asked to complete the PHQ-9 form, please click here (After you have clicked submit above)