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

2. Not being able to stop or control worrying

3. Worrying too much about different things

4. Trouble relaxing

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

6. Becoming easily annoyed or irritable

7. Feeling afraid as if something awful might happen

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