therapy on the hill
Home
About
Therapy
Fees
Contact
Home
About
Therapy
Fees
Contact
therapy on the hill
Client code
*
Please add your client code here
Date
MM
DD
YYYY
GAD-7: Over the last 2 weeks, how often have you been bothered by any of the following problems?
*
a) Feeling nervous, anxious or on edge
Not at all
Several days
More than half the days
Nearly every day
b) Not being able to stop or control worrying
*
Not at all
Several days
More than half the days
Nearly every day
c) Worrying too much about different things
*
Not at all
Several days
More than half the days
Nearly every day
d) Trouble relaxing
*
Not at all
Several days
More than half the days
Nearly every day
e) Being so restless that it is hard to sit still
*
Not at all
Several days
More than half the days
Nearly every day
f) Becoming easily annoyed or irritable
*
Not at all
Several days
More than half the days
Nearly every day
g) Feeling afraid as if something awful might happen
*
Not at all
Several days
More than half the days
Nearly every day
Thank you!