Anxiety and Depression Screening

GAD-7 & PHQ-9 (English)

PERSONAL INFORMATION

What is your name?

Select Today's Date

GAD-7 QUESTIONNAIRE
Instructions: CHECK the answer that best applies to you. Please answer each question as best you can.
Not at all (0)Several Days (1)More than half the days (2)Nearly everyday (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 is hard to sit still
6. Becoming easily annoyed or irritated
7. Feeling afraid as if something awful might happen
PHQ-9 QUESTIONNAIRE
Instructions: CHECK the answer that best applies to you. Please answer each question as best you can.
Not at all (0)Several Days (1)More than half the days (2)Nearly everyday (3)
1. Little interest or pleasure in doing things.
2. Feeling down, depressed, or hopeless.
3. Trouble falling or staying asleep, or sleeping too much.
4. Trouble relaxing
5. Poor appetite or over eating.
6. Feeling bad about yourself or that you are a failure or have let yourself or your family down.
7. Trouble concentrating on things, such as reading the newspaper or watching television.
8. Moving or speaking so slowly that other people could have noticed. Or the opposite, being so fidgety or restless that you have been moving around a lot more than usual.
9. Thoughts that you would be better off dead, or of hurting yourself.