GAD-7

Generalised anxiety severity

Over the last 2 weeks, how often has the patient been bothered by each of the following?

Feeling nervous, anxious, or on edge

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Not being able to stop or control worrying

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Worrying too much about different things

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Trouble relaxing

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Being so restless that it is hard to sit still

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Becoming easily annoyed or irritable

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Feeling afraid as if something awful might happen

Not at all (0)

Several days (1)

More than half the days (2)

Nearly every day (3)

Evidence

Original publication

Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Seven items rated 0–3; a score ≥ 10 had 89% sensitivity and 82% specificity for generalised anxiety disorder, with 5/10/15 marking mild, moderate, and severe anxiety.

Archives of Internal Medicine, 2006

Open source

Validation

Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. The GAD-7 also performed well as a screen for panic disorder, social anxiety disorder, and PTSD at a threshold of ≥ 8–10.

Annals of Internal Medicine, 2007

Open source

Guideline

Widely used for anxiety screening and treatment monitoring in primary care and psychiatry; free to use without permission (developed by Pfizer).

Last reviewed: 2026-09

Report an error in this calculator

MedScore is an educational and clinical decision-support tool. It does not provide a diagnosis, a treatment, or a drug-dosing recommendation, and it does not replace clinical judgement or local guidelines. Confirm every result against the original source before acting on it. The treating clinician remains responsible for all decisions.