if you don't have time to fill this out…
Prior to our first counseling session, I will need you to complete each of these 7 forms. After filling out the first form, you will be provided with the next form, until the last has been completed. This may take 15-30 minutes or more.

Form 5 of 7

GAD Questionnaire

05 – GAD-7
Over the last 2 weeks, how often have you been bothered by any of the following problems?
Not At All=0 | Several Days=1 | More Than Half the Days=2 | Nearly Every Day=3
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
If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?
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