General Anxiety Disorder Questionnaire

1. Do you find it difficult to control your worry?
  No   Yes
 
2. Do you have anxiety or worry more days than not?
  No   Yes
 
3. Do you worry about a number of events or activities?
  No   Yes
 
4. Has this condition persisted for more than 6 months?
  No   Yes
 
5. Have you experienced any of  the following symptoms:
 
5.1 Restlessness or feeling keyed up or on edge
  No   Yes
 
5.2 Being easily fatigued
  No   Yes
 
5.3 Difficult concentrating or mind going blank
  No   Yes
 
5.4 Irritability
  No   Yes
 
5.5 Muscle tension
  No   Yes
 
5.6 Sleep disturbance (difficult falling or staying asleep, restless or unsatisfying sleep)
  No   Yes

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