Name:    Date of Birth:

Over the last 2 weeks, how often have you been bothered by the following problems?

Feeling nervous, anxious or on edge:

Not being able to stop or control worrying:

Worrying too much about different things:

Trouble relaxing:

Being so restless that it is hard to sit still:

Becoming easily annoyed or irritable:

Feeling afraid as if something awful might happen:

If you checked off any problems from this list, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?

Leave this empty:

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Document name: GAD-7
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TimestampApril 20, 2020 10:35 am PSTAuditGAD-7 Uploaded by Do Not Reply - IP
TimestampApril 29, 2020 8:23 am PSTAuditRecords Department - added by Jason Dooley - as a CC'd Recipient Ip:
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TimestampMarch 18, 2021 2:05 pm PSTAudit Document owner has handed over this document to 2021-03-18 14:05:29 -
TimestampMarch 18, 2021 2:05 pm PSTAuditCFD Main - added by Do Not Reply - as a CC'd Recipient Ip: