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GAD-7 Anxiety Questionnaire and Scoring

Score the seven-item Generalised Anxiety Disorder questionnaire. See the severity band and what NICE suggests next.

By Dr Amer Sheikh, GP Updated 17 October 2026 Clinical review pending

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What is the GAD-7?

The GAD-7 is a seven-item questionnaire for generalised anxiety disorder. It asks about symptoms over the last two weeks.

It also screens reasonably well for panic disorder, social anxiety and PTSD.

GAD-7 scoring

ScoreAnxiety
0–4Minimal
5–9Mild
10–14Moderate
15–21Severe

A score of 10 or more suggests probable generalised anxiety disorder. NICE CG113 advises NHS Talking Therapies, with sertraline first line if drug treatment is chosen.

Frequently asked questions

How is the GAD-7 scored?

Seven items score 0 to 3 each, giving 0 to 21.

What GAD-7 score suggests an anxiety disorder?

A score of 10 or more suggests probable generalised anxiety disorder.

Does the GAD-7 diagnose anxiety?

No. It is a screening and severity tool. Confirm with clinical assessment.

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References

  1. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166(10):1092–7.
  2. NICE. Generalised anxiety disorder and panic disorder in adults: management. CG113. nice.org.uk/guidance/cg113

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