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Patient Health Questionnaire

Generalized Anxiety Disorder Survey

Not at all

Several days

More than half the days

Nearly every day

Not being able to stop or control worrying

0

1

2

3

Worrying too much about different things

0

1

2

3

Trouble relaxing

0

1

2

3

Being so restless that it is hard to sit still

0

1

2

3

Becoming easily annoyed or irritable

0

1

2

3

Feeling afraid as if something awful might happen

0

1

2

3

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

0

1

2

3

Your anxiety level is: