Generalized Anxiety Disorder (GAD-7) Assessment
Score the GAD-7 for the last two weeks and compare anxiety symptom severity with the separate impact on work, home tasks, and relationships.Your GAD-7 result
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Anxiety becomes easier to assess when two questions stay distinct: how often symptoms occurred, and how much they disrupted daily life. Someone may report frequent worry without major impairment, while another person may have fewer symptoms that still interfere sharply with work, home responsibilities, or relationships.
The Generalized Anxiety Disorder 7-item scale, or GAD-7, measures the frequency of seven anxiety symptoms over the last two weeks. The items cover nervousness, difficulty controlling worry, broad worry, trouble relaxing, restlessness, irritability, and fear that something awful might happen. A separate eighth response records functional difficulty.
The total is useful as a brief symptom-severity and screening signal. It supports a conversation about whether fuller assessment would help, especially when the score reaches 10 or daily functioning is substantially affected. It cannot establish generalized anxiety disorder because diagnosis also depends on history, duration, impairment, other conditions, medication or substance effects, and professional judgment.
- Frequency matters: the same symptom contributes more when it occurs on more days.
- Pattern matters: identical totals can come from different combinations of worry, tension, irritability, and fear.
- Function matters: the impact response is read beside the total rather than being added to it.
A low score does not rule out another anxiety condition, a medical explanation, or an important problem concentrated in one area. Severe distress, rapid deterioration, or immediate safety concerns call for direct help regardless of the total.
How to Use This Tool:
Answer from one consistent two-week period and keep symptom frequency separate from its effect on everyday functioning.
- Start the assessment and rate each of the seven symptoms from Not at all to Nearly every day.
- Answer the final function question about work, home tasks, and relationships. This response is required but is not part of the GAD-7 total.
- Finish after all eight responses are complete. Read the severity label, the 0 to 21 total, and the function response together.
- Use Answer review to check the symptom pattern when the total seems surprising or when one concern deserves separate attention.
Interpreting Results:
The total summarizes frequency, not certainty about a diagnosis. Scores from 0 to 4 are labeled Minimal, 5 to 9 Mild, 10 to 14 Moderate, and 15 to 21 Severe. The published 10-point cue is a reason to consider fuller assessment, not a pass/fail border.
Read the function response even when the total is below 10. Very difficult or Extremely difficult signals meaningful disruption and supports follow-up on its own. Conversely, a high total with little reported disruption still deserves context rather than an automatic diagnosis.
Compare repeated scores only when the same person uses the same two-week frame and answers under reasonably similar conditions. A change in total may reflect a real change, a different interpretation of the questions, or a different fortnight.
Technical Details:
The seven symptom responses use integer values from 0 to 3. They are added without weighting or reverse scoring. Complete-case scoring means that every symptom item must be answered before the total is available.
Formula Core:
The GAD-7 total is the sum of the seven symptom-frequency values. The eighth value, f, records function difficulty separately.
| Response | Value per symptom |
|---|---|
| Not at all | 0 |
| Several days | 1 |
| More than half the days | 2 |
| Nearly every day | 3 |
For example, symptom values of 2, 2, 1, 2, 1, 1, and 1 sum to 10. That total enters the Moderate range and meets the 10-point screening cue. A function response of 2 means Very difficult, but it does not change the total from 10.
Rule Core:
All score ranges use inclusive integer boundaries. The function scale is ordinal and independent of the symptom bands.
| Total | Label | Interpretation cue |
|---|---|---|
| 0 to 4 | Minimal | Below the screening cue; important symptoms or impairment can still warrant attention. |
| 5 to 9 | Mild | Review the symptom pattern and function response. |
| 10 to 14 | Moderate | Meets the 10-point cue for fuller assessment. |
| 15 to 21 | Severe | Supports timely clinical follow-up and assessment of impact. |
Limitations and Privacy:
GAD-7 is a self-report screen for adults, not a diagnosis, emergency triage method, treatment recommendation, or rule-out test. It does not determine the cause of anxiety-like symptoms and should not be used for employment, insurance, eligibility, or medication decisions.
- Answers and progress update this page's URL as you work. Anyone with the URL can read and edit the responses; the URL is not encrypted or access-controlled. Opening or reloading it sends the URL to this website and may leave it in browser history or server logs.
- Starting over clears this attempt and removes its response state from the current URL; it does not erase previously copied links, browser history or server logs.
- Anyone with the link may be able to read them because encoding is not encryption.
- Urgent distress or safety concerns require direct local support even if the total is low.
References:
- A brief measure for assessing generalized anxiety disorder: the GAD-7, Archives of Internal Medicine, 2006.
- Generalized Anxiety Disorder 7-item scale and scoring form, Agency for Healthcare Research and Quality, 2020.
- Anxiety Disorders in Adults: Screening, U.S. Preventive Services Task Force, 2023.