This GAD-7 printable questionnaire is a ready to hand out version of the Generalized Anxiety Disorder 7-item scale, a brief self-report measure used to screen for and gauge the severity of generalized anxiety. It has 16 questions and prints on one sheet, front and back, so clinics, counseling services, and research teams can collect responses from every patient in a few minutes.
What this survey measures
The seven core items ask how often, over the last two weeks, a person has been bothered by common anxiety symptoms such as feeling nervous, uncontrollable worrying, trouble relaxing, restlessness, and irritability. Each item is rated on a four point frequency scale, and the seven scores add up to a total from 0 to 21 that maps to mild, moderate, or severe anxiety. A functioning question captures how much these problems interfere with daily work, home life, and relationships. A short patient section then asks how long the feelings have lasted, which areas of life are causing worry, how the patient is sleeping, and past and current support. A physical signs and coping section asks about body symptoms, panic, avoidance, and using alcohol or other substances to cope, and whether they would like a call from the team, followed by an open comment box. A clinician section at the end explains the scoring and gives a box for the total score.
How to use it on paper
Hand the form to patients at intake, in a waiting room, or during a counseling session. Ask each person to mark one box per row with a blue or black pen. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and totals the results in your dashboard without any manual data entry.
Customize this template
Add your clinic logo and reword the introduction to match your intake process. You can add or remove follow-up questions around the seven core items, which should stay exactly as written, and the paper layout reflows automatically so every printed copy stays scannable.
Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke, and colleagues, with an educational grant from Pfizer Inc. No permission is required to reproduce, translate, display, or distribute the GAD-7. Preview the PDF above, or use this template to start screening today.