GAD-7


GAD-7

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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Timestamp Audit
April 20, 2020 10:35 am PDTGAD-7 Uploaded by Jason Dooley - jdooley@c-f-d.org IP 71.238.126.129
April 29, 2020 8:23 am PDTRecords Department - records@c-f-d.org added by Jason Dooley - jdooley@c-f-d.org as a CC'd Recipient Ip: 71.238.126.129
April 29, 2020 9:34 am PDTCFD Main - main@c-f-d.org added by Jason Dooley - jdooley@c-f-d.org as a CC'd Recipient Ip: 71.238.126.129