General Anxiety Disorder

    1. Over the last 2 weeks, how often have you been bothered by the following problems?

    Not at all sure

    Several days

    Over half the days

    Nearly every day

    ● Feeling nervous, anxious, or on edge

    ● Not being able to stop or control worrying

    ● Worrying too much about different things

    ● Trouble relaxing

    ● Being so restless that it's hard to sit still

    ● Becoming easily annoyed or Irritable

    ● Feeling afraid as if something awful might happen

    Add the score for each column

    TOTAL SCORE (add your column scores)


    Not difficult at all

    Somewhat difficult

    Very difficult

    Extremely difficult

    2. If you checked off any problem on this questionnaire so far, 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?