01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

Generalised Anxiety Disorder (DSM-5) Assessment
You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email.
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This questionnaire is not designed to provide a definitive psychological diagnosis or to take the place of a professional consultation. Please answer all questions as accurately and honestly as possible.


Instructions

The following questions ask about thoughts, feelings, and behaviors, often tied to concerns about family, health,
finances, school, and work. Please respond to each item by marking one box per row.

During the PAST 7 DAYS, I have…


1. felt moments of sudden terror, fear, or fright





2. felt anxious, worried, or nervous





3. had thoughts of bad things happening, such as family tragedy, ill health, loss of a job, or accidents





4. felt a racing heart, sweaty, trouble breathing, faint, or shaky





5. felt tense muscles, felt on edge or restless, or had trouble relaxing or trouble sleeping





6. avoided, or did not approach or enter, situations about which I worry





7. left situations early or participated only minimally due to worries





8. spent lots of time making decisions, putting off making decisions, or preparing for situations, due to worrie





9. sought reassurance from others due to worries





10. needed help to cope with anxiety (e.g., alcohol or medication, superstitious objects, other people)