Mental health therapy for senior citizens in Pennsylvania and Florida! Free therapy for Medicare members with available benefits. No co-pays if deductible has been met.

Anxiety Screening (GAD-7)

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Name

First

Last

Phone

Date of Birth:

Over the last 2 weeks, how often have you been bothered by the following problems?

Feeling nervous, anxious or on edge

Not being able to stop or control worrying

Worrying too much about different things

Trouble relaxing

Being so restless that it's hard to sit still

Becoming easily annoyed or irritable

Feeling afraid as if something awful might happen

Becoming that Name

Results

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