13 (13)    MH REPORT (601.93)

Name Value
REPORT NUMBER 13
INSTRUMENT GAD-7
RPT
.|.|Generalized Anxiety Disorder, 7 items||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB: 
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>| |GAD-7 score:  <-Anxiety->||A low score indicates the absence of anxiety, a high score indicates the presence of anxiety 
symptoms; the range is 0 to 21. A score of 15 or greater is considered clinically significant, meriting active treatment for anxiety. A score of 10 to 14 indicates a condition that should be 
carefully evaluated.||Questions and Answers||1. Feeling nervous, anxious or on edge|    <*Answer_5109*>|2. Not being able to stop or control worrying|    <*Answer_5110*>|3. Worrying too much about 
different things|    <*Answer_5111*>|4. Trouble relaxing|    <*Answer_5112*>|5. Being so restless that it is hard to sit still|    <*Answer_5113*>|6. Becoming easily annoyed or irritable|    
<*Answer_5114*>|7. Feeling afraid as if something awful might happen|    <*Answer_5115*>||Information contained in this note is based on a self-report assessment and is not sufficient to use alone 
for diagnostic purposes.  Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.|   $~