Name* First Last Email Date UntitledIntended Therapist*Choose your therapistKelly CookBonnie JohnsonOver the last two weeks, how often have you been bothered by the following problems? 0= Not at all | 1= Several | 2= More than half the days | 3= Nearly everyday1. Feeling nervous, anxious, or on edge01232. Not being able to stop or control worrying01233. Worrying too much about different things01234. Trouble relaxing01235.Being so restless that it is hard to sit still01236. Becoming easily annoyed or irritable01237. Feeling afraid as if something awful might happen0123If 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? (check one) Not at all Somewhat difficult Very difficult Extremely difficult Δ Brian LaverdiereGeneralized Anxiety Disorder 7-Item Scale09.03.2019