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The Allan Practice

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Chalfonts PCN
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Health Advice
New Patients
Chalfonts PCN
Contact Us

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Home
News
Information
Opening Hours
Our Staff

GAD7 Questionnaire

Last Updated: 24/08/2020

Personal details

First name *

Surname *

Date of birth *

Over the last 2 weeks, how often have you been bothered by any of 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 awful might happen? *

Not at all

Several days

More than half the days

Nearly every day

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