Severity Measure for Generalized Anxiety Disorder—Adult Name* Age* Sex:* Male Female Date* MM slash DD slash YYYY Input the value that best fits you (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time. During the past 7 days, i have:Felt moments of sudden terror, fear, or fright. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Felt anxious, worried, or nervous. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Had thoughts of bad things happening, such as family tragedy, ill health, loss of a job, or accidents. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Felt a racing heart, sweaty, trouble breathing, faint, or shaky. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Felt tense muscles, felt on edge or restless, or had trouble relaxing or trouble sleeping. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Avoided, or did not approach or enter, situations about which I worry. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Left situations early or participated only minimally due to worries. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Spent lots of time making decisions, putting off making decisions, or preparing for situations, due to worries. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Sought reassurance from others due to worries. (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.Needed help to cope with anxiety (e.g., alcohol or medication, superstitious objects, or other people). (0) Never, (1) Occasionally, (2) Half of the time, (3) Most of the time, (4) All of the time*Please enter a number from 0 to 4.HiddenRaw Score
