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Instructions: Over The Last 2 Weeks, How Often Have You Been Bothered by The Following Problems?

This document contains two questionnaires about anxiety and depression symptoms experienced over the last two weeks. The GAD-7 questionnaire contains 7 questions about anxiety symptoms like feeling nervous, worrying, and restlessness. The PHQ-9 questionnaire contains 9 questions about depression symptoms like lack of interest, feeling down, sleep problems, and suicidal thoughts. It ends by asking how difficult these problems have made daily activities and interactions with others.

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lisa stewart
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86 views1 page

Instructions: Over The Last 2 Weeks, How Often Have You Been Bothered by The Following Problems?

This document contains two questionnaires about anxiety and depression symptoms experienced over the last two weeks. The GAD-7 questionnaire contains 7 questions about anxiety symptoms like feeling nervous, worrying, and restlessness. The PHQ-9 questionnaire contains 9 questions about depression symptoms like lack of interest, feeling down, sleep problems, and suicidal thoughts. It ends by asking how difficult these problems have made daily activities and interactions with others.

Uploaded by

lisa stewart
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Instructions: Over the last 2 weeks, how often have you been bothered by the following problems?

GAD-7 (Anxiety Questions)

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

1. Feeling nervous, anxious or on edge 0 1 2 3

2. Not being able to stop or control worrying 0 1 2 3

3. Worrying too much about different things 0 1 2 3

4. Trouble relaxing 0 1 2 3

5. Being so restless that it is hard to sit still 0 1 2 3

6. Becoming easily annoyed or irritable 0 1 2 3

7. Feeling afraid as if something awful might happen 0 1 2 3

PHQ-9 (Depression Questions)

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

1. Little interest of pleasure in doing things 0 1 2 3

2. Feeling down, depressed, or hopeless 0 1 2 3

3. Having trouble falling or staying asleep, or sleeping too much 0 1 2 3

4. Feeling tired or having little energy 0 1 2 3

5. Poor appetite or overeating 0 1 2 3

6. Feeling bad about yourself – or that you are a failure or have 0 1 2 3


let yourself or your family down

7. Trouble concentrating on things, such as reading the 0 1 2 3


newspaper or watching television

8. Moving or speaking so slowly that other people could have 0 1 2 3


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 0 1 2 3


yourself

10. If you checked off any problems, how difficult have these  Not difficult at all
problems made it for your to do your work, take care of things
 Somewhat difficult
at home, or get along with other people?
 Very difficult
 Extremely difficult

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