Nevada Family Psychiatry

General Anxiety Disorder Screener

To download the hard copy of this form, click the button below. You are welcome to fill out that version and bring it in or, for your own information, fill out the on-line version below. To see how you rate on this questionnaire meant to screen for general anxiety.

Download the Form in English

Download the Form in Spanish

Questions

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

Scoring

If you have scored 10 points or greater on this questionnaire, counting just the questions above, it suggests a moderate to severe anxiety.

If you would like to schedule an appointment to discuss the results of this test or any other concerns please follow the “Contact” link below.


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