Cardiovascular Risk Profile for
Over the last 2 weeks, how often have you been
bothered by any of the following problems?
Not at
all
Several
days
More than
half
the days
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's hard to sit still
6. Becoming easily annoyed or irritable
7. Feeling afraid as if something awful might happen
Total score
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?
Not difficult
at all
Somewhat
difficult
Very
difficult
Extremely
difficult
The GAD-7 is based on the diagnostic criteria for GAD described in DSM-IV. However, the GAD-7 is also sensitive to severity of symptoms of social phobia, post-traumatic stress disorder, and panic disorder.
Please note: This questionnaire is designed for use by a health professional. Since the questionnaires rely on patient self-report, all responses should be verified by the clinician and a definitive diagnosis made on clinical grounds, taking into account how well the patient understood the questionnaire, as well as other relevant information from the patient (e.g., presence of DSM-IV GAD symptoms). Web
*** A diagnosis of Generalized Anxiety Disorder should not be made based on GAD-7 scores alone ***
A score of 10 or greater indicates that further evaluation is required.
Scoring algorithm: Each of the 7 items has a possible score of 0 to 3, providing a possible total score of 0 to 21.
GAD-7
score
Symptom
Range
0 - 4Minimal anxiety
5 - 9 Mild anxiety
10 - 14 Moderate anxiety
15 - 21 Severe anxiety
Wayside Health Associates
Jay B. Krasner, MD, FACP
111 Boston Post Road
Suite 107
Sudbury, MA 01776
Phone: (978) 443-8010
Fax: (978) 443-4634
www.waysidehealth.com