Anxiety Symptom Checklist (GAD-7)

Over the past 2 weeks, how often have you been bothered by the following problems:

If you would like a copy of your answers and results emailed to you, please provide your email address here:

1. Feeling nervous, anxious or on edge?

2. Not being able to stop or control worrying?

3. Worrying too much about different things?

4. Trouble relaxing?

5. Being so restless that it is hard to sit still?

6. Becoming easily annoyed or irritable?

7. Feeling afraid as if something awful might happen?

Light On Anxiety – Deerfield
(847) 241-1195
1121 Lake Cook Rd., Suite A
Deerfield, IL 60015

Closing Feb. 5th, 2023

Light On Anxiety – Highland Park
(847) 241-1195
1160 Park Avenue W., Suite 6E
Highland Park, IL 60035

Opens Feb. 6th, 2023

Light On Anxiety – Wilmette
(847) 610-6763
3330 Old Glenview Rd., Suite 14
Wilmette, IL 60091