Accepting new patientsTexas residents onlyWe do not accept MedicaidNow open: North Dallas office
Online patient form

Generalized Anxiety Disorder (Anxiety Assessment) (GAD-7)

Fields marked * are required. Your answers are sent securely to our intake team — nothing is stored in your browser.

Please answer the following 7 questions.

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 is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid as if something awful might happen
If you checked any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?

Your submission is emailed securely to our intake team. This form is not for emergencies.

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