Symptomatik

Mental health assessment

Free GAD-7 Anxiety Test — Online Self-Check

Answer 7 short questions about the past two weeks. Your answers stay in this browser unless you choose to print, save, or share. Results show your GAD-7 score with clinical band interpretation and next-step guidance.

Frequently asked questions

What is the GAD-7?

The GAD-7 is a 7-item self-report questionnaire developed by Spitzer and colleagues in 2006 to screen for and measure the severity of generalized anxiety disorder symptoms over the past two weeks.

How is the GAD-7 scored?

Each of the 7 items is rated 0–3. The total score (0–21) maps to severity bands: 0–4 minimal, 5–9 mild, 10–14 moderate, 15–21 severe.

Is GAD-7 a diagnosis?

No. The GAD-7 is a screening instrument, not a diagnostic test. A clinician's evaluation is required to confirm a generalized anxiety disorder diagnosis and to plan treatment.

Is my data saved or shared?

Your answers stay in your browser. Symptomatik does not send your responses to any server. If you choose Print or PDF, that file is generated locally on your device.

About this screening tool

The GAD-7 was developed and validated by Spitzer, Kroenke, Williams, and Löwe in 2006. It is one of the most widely used anxiety screening instruments in primary care globally. Symptomatik presents the GAD-7 verbatim; we do not modify, score differently from, or extend the published instrument.

References

  1. Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-1097.

Your GAD-7 score in context

The GAD-7 is a snapshot of the past two weeks, not a fixed assessment of who you are. Anxiety symptoms are responsive to circumstance — a looming deadline, a health scare, a relationship stressor can all push a score meaningfully upward during the window you happened to take the screen. That doesn't make the reading unreliable; it makes the context around it relevant. If you took this screen on a genuinely anxious day, the number may sit higher than your recent average. If the two weeks behind you were unusually calm, it may sit lower.

When you retake the screen, the number that matters is the change. The clinical literature sets the minimum important clinical difference for the GAD-7 at 4 points — that is the threshold researchers and clinicians use to call a shift meaningful rather than noise. Score swings of 2 or 3 points between readings typically fall within normal variation on this instrument; they do not reliably signal that something has improved or worsened. A change of 4 or more points, in either direction, is worth paying attention to and worth mentioning to a clinician if one is involved.

The instrument was designed to be retaken every two weeks during a monitored period — that cadence gives enough time for real change to accumulate while keeping the observation window tight enough to catch deterioration early. One particularly anxious day near the end of the window can pull a score upward; one calm week doesn't undo an anxiety pattern that has been running for months. That asymmetry is a reason to track the trend across several readings rather than treating any single number as definitive. If you are working with a clinician, they will typically look at your score over several administrations rather than making clinical decisions off a single result.

How to bring this to a clinician

The GAD-7 was designed for exactly this use — handing a clinician a structured snapshot they already know how to read. You do not need to explain what it is. A primary-care doctor, nurse practitioner, therapist, or psychiatrist will recognize the score immediately and know which items contributed to it.

What to bring:

  • The total score (the number on your result above)
  • The items you rated 2 (more than half the days) or 3 (nearly every day) — the item pattern tells a clinician more than the total does
  • How long symptoms at this level have been present (best guess in weeks or months)
  • Any medication, substance, or medical change — including caffeine, stimulants, thyroid medication, or sleep changes — that started in roughly the same window

A two-line opening you can use as-is:

I took the GAD-7 at home and scored [X]. The items that bothered me most were [item numbers or short descriptions]. I'd like to talk about what to do next.

Most clinicians will follow up by asking about panic episodes (distinct from generalized worry and often needing different management), sleep onset specifically, avoidance behaviors that have appeared or grown, and how anxiety is affecting work, relationships, or daily responsibilities. Mentioning these areas upfront — even briefly — can shorten the appointment and get you to a concrete plan faster than open-ended descriptions.

You can print this page or save it as PDF using your browser's print menu — the result, score, and items all carry through.

If you're reading this with someone who took the test

If you are a partner, parent, or close friend reading this result alongside the person who took the test, this section is addressed to you. The most important thing to understand about anxiety is that it does not respond to logical rebuttals. Pointing out that the feared outcome is unlikely, or asking them to look at the evidence, tends to offer only a few seconds of relief before the worry reconstitutes itself — and can make the person feel more alone in it, not less. Anxiety feels out of control from the inside. The goal is not to argue them into a calmer state; it is to be a steady, non-reactive presence while they move through it.

Three things consistently help: showing up at appointments (even just driving and waiting outside), assisting with the specific tasks that avoidance has made hard — driving them somewhere they have been putting off, sitting with them through a phone call they cannot bring themselves to make, handling a logistics pile that has grown too daunting — and staying calm and present when they are activated, which is precisely when many supporters pull back. You do not need to say the right thing. Steady and there is often enough.

Three things that tend not to help: telling them to relax, calm down, or take a deep breath (this signals that the anxiety is the problem rather than the situation causing it); drawing comparisons to your own stress level or someone else who managed; and offering have you tried suggestions. The person who took this screen has almost certainly thought about their anxiety at length. What they need is practical support and company, not a new angle.

One situation calls for specific preparation: if they have panic episodes in front of you, the most useful response is to stay nearby, keep your voice low and even, and not try to coach their breathing unless they ask. Panic peaks at roughly ten minutes and self-resolves. Your visible calm is more useful than your instructions.

If anxiety has started compressing their life — avoided appointments, missed work, tasks they cannot get themselves to do — helping them schedule and keep the first clinical appointment is one of the most concrete and high-leverage things you can do. Getting there is often the hardest step.

Other screens you might also take

Some symptoms travel together; if anxiety isn't the whole picture, these other screens may help fill it in.