Carroll-Davidson Generalized Anxiety Disorder Screen©

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These questions are to ask you about things you may have felt most days in the past six months.

Yes

No

1. Most days I feel very nervous.

2. Most days I worry about lots of things.

3. Most days I cannot stop worrying.

4. Most days my worry is hard to control.

5. I feel restless, keyed up or on edge.

6. I get tired easily.

7. I have trouble concentrating.

8. I am annoyed or irritated.

9. My muscles are tense and tight.

10. I have trouble sleeping.

11. Did the things you noted above affect your daily life (home life, or work, or leisure) or cause you a lot of distress?

12. Were the things you noted above bad enough that you thought about getting help for them?

Total

 

Total score (number of YES responses) = ________

Score of 0-5:  Symptoms not suggestive of Generalized Anxiety Disorder.

Score of 6 or above: Symptoms suggestive of Generalized Anxiety Disorder.  A complete evaluation is recommended.

Note: This questionnaire is provided for educational purposes only.  It is not a substitute for consulting with a health professional.  Even if an individual’s score on the questionnaire is “negative,” it is important to consult with a primary care doctor or a mental health professional if there are concerns.

Contact Information:

The Child Center and Adult Services, Inc. - Shady Grove Professional Building,
16220 South Frederick Avenue, Suite 502, Gaithersburg, MD 20877
(T) 301-978-9750 - (F) 301-978-9753 - E-mail: ccas1@verizon.net

Send mail to ccas1@verizon.net with questions or comments. Copyright © 2006 Child Center and Adult Services, Inc.