GAD7

Cognitive Behavioural Therapy & EMDR

Wiltshire

t: 0777 3714723 | e: hello@rupertcrockett.co.uk

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Over the last two weeks ,how often have you been bothered by the following problems?

1. Feeling nervous, anxious or on edge

Not at all Several days More than half the day Nearly every day

2. Not being able to stop or control worrying

Not at all Several days More than half the day Nearly every day

3. Worrying too much about different things

Not at all Several days More than half the day Nearly every day

4. Trouble relaxing

Not at all Several days More than half the day Nearly every day

5. Being so restless that it is hard to sit still

Not at all Several days More than half the day Nearly every day

6. Becoming easily annoyed or irritable

Not at all Several days More than half the day Nearly every day

7. Feeling afraid as if something awful might happen

Not at all Several days More than half the day Nearly every day

8. Little interest or pleasure in doing things

Not at all Several days More than half the day Nearly every day

9. Trouble falling or staying asleep, or sleeping too much

Not at all Several days More than half the day Nearly every day

10. Feeling tired or having little energy

Not at all Several days More than half the day Nearly every day

11. Poor appetite or overeating

Not at all Several days More than half the day Nearly every day

12. Feeling bad about yourself — or that you are a failure or have let yourself or your family down

Not at all Several days More than half the day Nearly every day

13. Trouble concentrating on things, such as reading the newspaper or watching television

Not at all Several days More than half the day Nearly every day

14. 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

Not at all Several days More than half the day Nearly every day

15. Thoughts that you would be better off dead or of hurting yourself in some way

Not at all Several days More than half the day Nearly every day

16. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Not difficult at all Somewhat difficult Very difficult Extremely difficult

17. Feeling down, depressed or hopeless

Not at all Several days More than half the day Nearly every day

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