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Form Id: FRM_GADA

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Over the last 2 weeks, how often have you been bothered by any of the following problems?
1. Feeling nervous, anxious or on edge:	Not at allSeveral daysMore than half the daysNearly every day
2. Not being able to stop or control worrying:	Not at allSeveral daysMore than half the daysNearly every day
3. Worrying too much about different things:	Not at allSeveral daysMore than half the daysNearly every day
4. Trouble Relaxing:	Not at allSeveral daysMore than half the daysNearly every day
5. Being so restless that it is hard to sit still:	Not at allSeveral daysMore than half the daysNearly every day
6. Feeling bad about yourself, or that you are a failure, or that you have let yourself or your family down:	Not at allSeveral daysMore than half the daysNearly every day
7. Feeling afraid as if something awful might happen:	Not at allSeveral daysMore than half the daysNearly every day
Anxiety Assessment Score
Score Result:	RESULT: SCORE
GAD 7 Rating:: (automatic evaluation not working in preview)	Minimal AnxietyMild AnxietyModerate AnxietySevere Anxiety

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