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Sample پرسشنامه اضطراب GAD-7

پرسشنامه اضطراب فراگیر GAD-7 با ۷ سؤال برای سنجش شدت علائم اضطراب در دو هفته‌ی گذشته؛ نمره‌ی ۰ تا ۲۱ و سطحِ شدت خودکار حساب و برای پاسخ‌دهنده تفسیر می‌شود.

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About this template

“پرسشنامه اضطراب GAD-7” has 8 questions; 7 are required and 1 optional. Question types: Single choice (8). 32 ready-made options across 8 choice questions, all editable in the online version.

Related:Standard questionnairesBuild an online questionnaireCronbach's alpha calculatorSample size calculation

Questions in this template

  1. 1.

    احساسِ عصبی بودن، اضطراب یا دلشوره *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  2. 2.

    ناتوانی در متوقف کردن یا مهارِ نگرانی *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  3. 3.

    نگرانیِ بیش از حد درباره‌ی چیزهای مختلف *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  4. 4.

    مشکل در آرام گرفتن *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  5. 5.

    آن‌قدر بی‌قرار بودن که نشستن در یک جا سخت باشد *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  6. 6.

    زود کلافه یا عصبانی شدن *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  7. 7.

    احساسِ ترس، انگار ممکن است اتفاقِ وحشتناکی بیفتد *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  8. 8.

    اگر هر یک از این مشکلات را داشته‌اید، این مشکلات انجامِ کار، رسیدگی به امورِ خانه یا کنار آمدن با دیگران را برایتان چقدر دشوار کرده است؟

    (Single choice)
    • اصلاً دشوار نبوده
    • تا حدی دشوار بوده
    • خیلی دشوار بوده
    • بی‌نهایت دشوار بوده

What does the GAD-7 measure?

The severity of anxiety symptoms over the last two weeks. It was built to screen for generalised anxiety disorder, and Kroenke et al. (2007) showed it also performs well for panic disorder, social anxiety and post-traumatic stress disorder.

Number of items
7
Time to complete
About 2 minutes
Score range
0 to 21
Reversed items
None
Response scale
Four options: not at all (0), several days (1), more than half the days (2), nearly every day (3)
Authors
Robert Spitzer, Kurt Kroenke, Janet Williams and Bernd Löwe, 2006

This questionnaire is a screening tool, not a diagnosis; only a qualified mental-health professional can diagnose. If you feel severe distress or have thoughts of harming yourself, call Iran's social emergency line 123 or the counselling line 1480 now, or go to the nearest medical centre.

Scoring the GAD-7

  1. Not at all = 0, several days = 1, more than half the days = 2, nearly every day = 3.
  2. The total is the sum of the seven items, from 0 to 21.
  3. The final question (difficulty at work and home) is not scored and only appears when at least one problem was checked.

Interpreting GAD-7 scores

ScoreLevelSuggested action
0–4Minimal—
5–9MildWatch and re-assess
10–14ModerateProfessional assessment recommended
15–21SevereProfessional assessment recommended

Scores of 5, 10 and 15 mark mild, moderate and severe anxiety; 10 or more is the authors' suggested cut-off for further assessment.

GAD-7 validity and reliability

  • The development study ran in 15 US primary-care clinics with 2,740 adult patients.
  • Cronbach's alpha was .92 and test–retest reliability (intraclass correlation) was .83.
  • At a cut-off of 10, sensitivity was 89% and specificity 82% for generalised anxiety disorder.

Using the GAD-7 in your thesis with Porsino

  1. Sign up for free and click "Build a form from this template"; the items, options and every option's score (reversed items included) are ready.
  2. If you need demographic questions (age, gender, education), add them on a separate page; keep the item wording and order unchanged so the scoring stays valid.
  3. Publish the form and send its short link or QR code to your research sample; respondents fill it in without signing up and see their score and its interpretation at the end.
  4. Each respondent's total score and level are saved automatically in separate columns; export to Excel or SPSS from the responses page and go straight to analysis.
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Source and translation

Original instrument: Robert Spitzer, Kurt Kroenke, Janet Williams and Bernd Löwe, 2006

  • Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.
  • Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325.

Like the PHQ-9, the GAD-7 was developed with a grant from Pfizer; no permission is required to reproduce, translate, display or distribute it.

Translated by Porsino; for formal research, cite a validated (normed) Persian version.

Frequently asked questions about the GAD-7

How many questions does the GAD-7 have?

Seven scored questions with four options (0–3) and an unscored question about difficulty at work and home; the total runs from 0 to 21.

What is the GAD-7 cut-off?

A score of 10 or more. In the development study it had 89% sensitivity and 82% specificity.

Does the GAD-7 diagnose anxiety disorders?

No. It is a screening tool; only a clinical assessment by a professional can diagnose.

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
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How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “پرسشنامه اضطراب GAD-7”.
  3. Change the questions as you like, publish the form and send the link.

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