Generalized Anxiety Disorder 7-Item Scale (GAD-7)

This form is intended for new and existing patients.  Please note that you should complete/submit this form on the day of your appointment, and it will be reviewed by Dr. Bird immediately before your already-scheduled appointment.  

If you are a current patient and have an urgent clinical concern that requires attention before your scheduled appointment, please call the office at 828-232-1994. 

Over the last 2 weeks, how often have you been bothered by the following problems?
0— Not at all
1— Several days
2— More than half the days
3— Nearly every day

1. Feeling nervous, anxious, or on edge
0123

2. Not being able to stop or control worrying
0123

3. Worrying too much about different things
0123

4. Trouble relaxing
0123

5. Being so restless that it is hard to sit still
0123

6. Becoming easily annoyed or irritable
0123

7. Feeling afraid as if something awful might happen
0123

If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
N/ANot at allSomewhat difficultVery difficultExtremely difficult