Skip to main content

PointCare Medical Center

Mail Us

[email protected]

Call Us

612-208-0985

Make Appointment
Icon-facebook Twitter Youtube Icon-instagram-1

GAD Scale Form

  • Home
  • GAD Scale Form
Please enable JavaScript in your browser to complete this form.
Patient Details
Date of Birth
Clinician

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

Rating Scale

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?
Clear Signature

We are committed to providing exceptional patient care and promoting wellness in our community here in the Twin Cities.

Icon-facebook Twitter Instagram Linkedin-in

Contact Details

  • 1433 E Franklin Ave Suite 10 Minneapolis, MN 55404
  • [email protected]
  • 9 AM - 6 PM , Monday - Friday
  • 612-208-0985

Other Pages

Make Appointment

Call Us

612-208-0985

Designed and Developed by Fowzi Media

Copyright © 2025 All rights reserved.