General Anxiety Disorder


 



Jennifer Daniels PhD, LCPC
Access Counseling Services, Inc.
175 Olde Half Day Road, Suite 140-9, Lincolnshire IL 60069
19 N. County Street Waukegan IL 60085
(224)225-9650 | jennifer@jdanielsphd.com
jdanielsphd.com

 

 

Use this scale to answer the questions below. '0' indicates 'Not at all' being bothered, the numbers increase to '3', indicating being bothered 'Nearly every day'.

0 - Not at all
1 - Several days
2 - More than half the days
3 - Nearly every day

 

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

 

1. Feeling nervous, anxious, or on edge


2. Not being able to stop or control worrying


3. Worrying too much about different things


4. Trouble relaxing


5. Being so restless that it is hard to sit still


6. Becoming easily annoyed or irritable


7. Feeling afraid as if something awful might happen

 

8. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

 

 

Leave this empty:

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Signature Certificate
Document name: General Anxiety Disorder
lock iconUnique Document ID: 7c9693ee7147cf8c32a3cea5a89e69b5c2c4f134
Timestamp Audit
October 19, 2021 12:56 am CSTGeneral Anxiety Disorder Uploaded by Jennifer Daniels - jennifer@jdanielsphd.com IP 72.207.59.93