Generalized Anxiety Disorder Scale GAD -7 Date MM slash DD slash YYYY Name First Last Over the last two weeks, how often have you been bothered by the following problems? Feeling nervous, anxious or on edge?* Not at all Several Days More than half the days Nearly every day Not being able to stop or control worrying* Not at all Several Days More than half the days Nearly every day Worrying too much about different things* Not at all Several Days More than half the days Nearly every day Trouble relaxing* Not at all Several Days More than half the days Nearly every day Being so restless that it is hard to sit still* Not at all Several Days More than half the days Nearly every day Becoming easily annoyed or irritable* Not at all Several Days More than half the days Nearly every day Feeling afraid as if something will happen* Not at all Several Days More than half the days Nearly every day CAPTCHA Robert J Spitzer, Janet B.W. Williams, Kurt Kroenke, and colleagues, from educational grant form Pfizer, Inc.