Clinician tool

GAD-7 anxiety measure

Administer the GAD-7 in session, score it against the published severity bands, and track each client's trajectory across sessions — with the change thresholds that separate real movement from measurement noise.

For clinical use by licensed professionals.This page is an administration and scoring aid for use within a clinical assessment — it is not a self-diagnosis tool, and a score alone never establishes or rules out a diagnosis. If you're here for yourself rather than a client, use the self-guided screeners and talk with a licensed provider about the result.

Stays on this device. Everything you enter here is saved only in this browser (IndexedDB) and is never sent to Meridian or any server — it works offline. Because entries can include client information, use a private, encrypted device, and clear or export to your EHR when you're done. This is a scratchpad, not the medical record of truth.

AI-assisted — clinician review required.Prompts, checklists, and any suggested language here are a scaffold, not clinical advice. Confirm accuracy, apply your professional judgment, and follow your agency's policies and NH statute before anything enters the record.

This administration

Client code

Initials or chart code only — never a full name or DOB.

Date administered

Context note (optional)

e.g. session 6, post med change

Score & interpretation

0 of 7 items answered

0 / 21

Answer every item for a valid total and severity interpretation.

To save: answer all items and enter a client code.

Trend across sessions

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Using the GAD-7 in measurement-based care

GAD-7 severity bands
Score	Severity	Published guidance
0–4	Minimal	Minimal anxiety. No intervention typically indicated.
5–9	Mild	Mild anxiety. Monitor; consider repeat screening and self-management strategies.
10–14	Moderate	Moderate anxiety. Probable clinically significant condition — further evaluation recommended.
15–21	Severe	Severe anxiety. Active treatment warranted; evaluate for comorbid conditions.

Interpreting change: A change of 4 or more points is considered clinically meaningful (Toussaint 2020). A drop of 50% or more from the initial score is conventionally treated as treatment response, and a score below 5 as remission.
Re-administration cadence: Re-administer every 2–4 weeks during active treatment. Scores of 10+ have the best sensitivity/specificity for GAD; also consider panic, social anxiety, and PTSD at elevated scores.
Administration notes: The GAD-7 screens for generalized anxiety severity but elevated scores also occur in panic disorder, social anxiety, and PTSD — follow a positive screen with a differential interview.
Ask the functional-impact question to anchor severity in the client's actual life.
Source: Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006. Public domain.

Meridian Mental Health

Clinical screening form

For clinical use — retain with the record

GAD-7 — Generalized Anxiety Disorder-7

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

Client name

Date of birth

Aug 20, 2026Date administered

Clinician

Meridian does not collect client-identifying information on screen — complete this section by hand.

#	Item	Not at all	Several days	More than half the days	Nearly every day
1	Feeling nervous, anxious, or on edge	(0)	(1)	(2)	(3)
2	Not being able to stop or control worrying	(0)	(1)	(2)	(3)
3	Worrying too much about different things	(0)	(1)	(2)	(3)
4	Trouble relaxing	(0)	(1)	(2)	(3)
5	Being so restless that it is hard to sit still	(0)	(1)	(2)	(3)
6	Becoming easily annoyed or irritable	(0)	(1)	(2)	(3)
7	Feeling afraid, as if something awful might happen	(0)	(1)	(2)	(3)

Functional impact

If you checked off any problems, how difficult have these made it to do your work, take care of things at home, or get along with other people?

Not difficult at allSomewhat difficultVery difficultExtremely difficult

Total score / 21

Severity

(0/7 answered on screen — score by hand)

Severity key
Score	Severity	Guidance
0–4	Minimal	Minimal anxiety. No intervention typically indicated.
5–9	Mild	Mild anxiety. Monitor; consider repeat screening and self-management strategies.
10–14	Moderate	Moderate anxiety. Probable clinically significant condition — further evaluation recommended.
15–21	Severe	Severe anxiety. Active treatment warranted; evaluate for comorbid conditions.

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006. Public domain.

This form is a scoring aid, not a diagnosis. A score alone never establishes or rules out a clinical diagnosis — interpret alongside clinical judgment. Printed Aug 20, 2026 from Meridian Mental Health.

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