Scribd Logo
Upload

Welcome to Scribd!

  • 41 views

    Form Abn2339

    Uploaded by

    Cristine Chubibo

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form Abn2339

    Uploaded by

    Cristine Chubibo
    41 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views1 page

    Form Abn2339

    Uploaded by

    Cristine Chubibo

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Self-Test for Anxiety

    You can complete the highlighted fields on this form online and then print the form for easy reference. Only
    text that is visible on the form is printed; scrolled text will not print. Any text you enter into these fields will
    be cleared when you close the form; you cannot save it.
    This questionnaire called the GAD-7 screening tool can help you find out if you might have an
    anxiety disorder that needs treatment. It calculates how many common symptoms you have and based
    on your answers suggests where you might be on a scale, from mild to severe anxiety.

    GAD-7 stands for "generalized anxiety disorder" and the 7 questions in the tool. Choose one answer for
    each of the 7 questions below:
    Over the last 2 weeks, how
    Not at all More than half Nearly every
    often have you been bothered Several days
    by the following problems? the days day

    1. Feeling nervous, anxious or


    0 1 2 3
    on edge

    2. Not being able to stop or


    0 1 2 3
    control worrying

    3. Worrying too much about


    0 1 2 3
    different things

    4. Trouble relaxing 0 1 2 3

    5. Being so restless that it's hard


    0 1 2 3
    to sit still

    6. Becoming easily annoyed or


    0 1 2 3
    irritable

    7. Feeling afraid, as if
    something awful might 0 1 2 3
    happen
    Add up your results for each
    column
    Total score (add column
    totals together)

    What your total score means


    Your total score is a guide to how severe your anxiety disorder may be:
    • 0 to 4 = mild anxiety
    • 5 to 9 = moderate anxiety
    • 10 to 14 = moderately severe anxiety
    • 15 to 21 = severe anxiety
    If your score is 10 or higher, or if you feel that anxiety is affecting your daily life, call your doctor.
    The GAD-7 was developed by Drs. Robert L. Spitzer, Janet B. W. Williams, Kurt Kroenke, and colleagues, with an education grant from Pfizer, Inc.

    © 1995-2020 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are
    trademarks of Healthwise, Incorporated.
    This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this
    information. 1

    You might also like