Anxiety Screening TestCorey Gehrold2024-10-23T17:36:51-05:00 General Anxiety Disorder Screening Test How often have you been bothered by the following in the past 2 weeks?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's 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 How difficult have these problems made it to do work, take care of things at home, or get along with other people? Not at all Somewhat difficult Very difficult Extremely difficult Your Total Score No Anxiety Disorder Mild Anxiety Disorder Moderate Anxiety Disorder Severe Anxiety Disorder Functionally, the patient does not report limitations due to their symptoms.Functionally, the patient is “somewhat” having difficulty with life tasks due to their symptoms.Functionally, the patient finds it is “very difficult” to perform life tasks due to their symptoms.Functionally, the patient finds it is “extremely difficult” to perform life tasks due to their symptoms.Would you like one of our staff to contact you about these results?(Required) Yes No Name(Required) First Last Phone(Required)Email How can we help?(Required) Thank you for taking the time to fill out this form. Have a great day!
