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Anxiety symptom screening

Generalized Anxiety Disorder 7-item

The GAD-7 is a brief self-report screen of anxiety symptom frequency over the past two weeks. This page explains the measure for clinics. It is not a test to complete here.

7 itemsAdult self-reportPast 2 weeksClinician reviewed

What is the GAD-7?

The Generalized Anxiety Disorder 7-item scale was developed by Spitzer, Kroenke, Williams and colleagues as a short self-report measure of anxiety symptom burden. Clinics use it for intake, review, and monitoring. It does not by itself establish an anxiety disorder diagnosis.

Development and clinical use

GAD-7 was introduced in the mid-2000s with a Pfizer educational grant and later became one of the most widely used brief anxiety measures in primary care and specialist services.

Source instrument
7 self-report items
Reference period
Past 2 weeks
Response format
4 frequency options
Respondent
Patient self-report
Typical use
Screening and monitoring
Clinical role
Screening support

A focused client experience

Respondents rate how often seven problems have bothered them over the past two weeks. Results are intended to support a clinician conversation about symptom burden, duration, impairment, and whether a fuller anxiety assessment is needed.

  • One question at a time with visible progress
  • Large keyboard-operable response choices
  • Previous, next, and answer-review steps
  • Clear confirmation that results go to the clinic
Client viewQuestion 3 of 7

Frequency choices are shown without reproducing GAD-7 item wording.

PreviousNext question

Designed to make evidence easy to review

The downloadable synthetic example illustrates report layout using invented response patterns, without patient data or instrument questions.

  • Named instrument, version, and provenance
  • Item-level response pattern without source wording
  • Methodology, references, and clinical boundary
  • Responsible clinician review rather than automated conclusions
Download the four-page sample
LLIRENASynthetic example
Generalized Anxiety Disorder 7-item
ReviewContextSource

Clinician review required

Understand the measure and its scoring conventions

Published source materials describe a 0-21 total and suggested screening bands. This public page does not independently verify scoring, cutoffs, or a production scoring rule. Use the official form and scoring instructions for the version you intend to use.

  1. Original GAD-7 validationSpitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166(10):1092-1097.
  2. Official source formsPfizer Inc. Patient Health Questionnaire (PHQ) screeners.

What clinics ask before they evaluate the GAD-7

These answers stay inside educational catalogue scope. They do not replace official manuals or clinician judgement.

What is the GAD-7 used for?

Clinics use it as a short anxiety symptom screen and a way to track change. It structures how often the person has been bothered by named problems, then a clinician reviews the result in context.

Does a GAD-7 score diagnose anxiety?

No. It is a screening and severity measure. Diagnosis, differential diagnosis, and treatment decisions remain with the responsible clinician.

Can I complete GAD-7 on this page?

No. This is educational catalogue information and a product illustration. Lirena does not provide a public self-test or automated interpretation here.

Which GAD-7 form should a clinic use?

Confirm you are using the official form and that it fits your population and governance.

See how an anxiety measure would sit in clinic review.