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🌿 Therapy & Mental Wellness

Free Anxiety Self-Check Template

Free GAD-7-style anxiety self-check — seven 2-week items scored 0-3 with an AI report of indicative bands, for intake and reflection, not diagnosis.

~4 min
7 scored items
AI PDF Report
AI Consultant
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Free GAD-7-style anxiety self-check — seven 2-week items scored 0-3 with an AI report of indicative bands, for intake and reflection, not diagnosis.

Disclaimer: this page and its AI report are for self-reflection and process reference only. They do not constitute medical, psychological, financial, legal or safety advice. Consult a qualified professional when needed.

Methodology: items are a structural adaptation of widely used frameworks, not an official version; scoring is indicative, not diagnostic.

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About this template

Anxiety complaints hide in plain sight until they are measured. This self-check adapts the classic GAD-7 style with seven 2-week frequency items scored 0-3, maps the total to indicative bands and produces a personalized AI report showing which worries drive the score. Four minutes, private, retakeable every few weeks to track real change.

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Live Preview

Sample form and AI report preview (fillable once the app is published).

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Fill it in to see how responses flow.
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Sample AI report with scoring visuals and recommendations, printable as a PDF.
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Scan the QR on the report to start an AI consultant chat.
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What's Included

The seven two-week items, the bands and the report behind the check.

1

Seven anchored items

0-3 frequency wording for the last two weeks.

2

Graded bands

Totals commonly read as minimal, mild, moderate or severe.

3

AI report

Explains which worries drive the total and what to raise in session.

4

Impairment prompt

Adds the difficulty-of-functioning dimension to the picture.

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How It Works

From copy to a scored anxiety picture in four steps.

1

Copy the template

Import the check with scoring and report — free.

2

Tune the items

Adapt wording for teens, couples or clinical populations.

3

Complete before session

Clients finish it in about four minutes on any device.

4

Use the report to plan

Open the graded AI PDF and decide the next step together.

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Who Is This For

Who runs it — therapists screening or people checking themselves.

1

Counselors & therapists

Objectify the starting point of anxiety work.

2

Individuals wondering about anxiety

A private, structured first look.

3

Student & occupational health

Consistent screening conversations.

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Key Features

What makes this GAD-7-style check careful and readable.

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Sample Questions Inside

The seven GAD-7-style items as clients see them — scoring and an AI report explaining the pattern come with the published check.

  1. Feeling nervous, anxious or on edge (0-3)
  2. Not being able to stop or control worrying (0-3)
  3. Worrying too much about different things (0-3)
  4. Trouble relaxing (0-3)
  5. Being so restless that it is hard to sit still (0-3)
  6. Becoming easily annoyed or irritable (0-3)
  7. Feeling afraid as if something awful might happen (0-3)
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Frequently Asked Questions

Is this the official GAD-7?
No — it is a structural adaptation of the widely used seven-item framework with adapted wording; the scoring it produces is indicative, not an official instrument administration.
What do the GAD-7-style bands indicate?
Totals at 5, 10 and 15 are commonly used as mild, moderate and severe cut-points — a band signals where a conversation should start, and only a qualified clinician can diagnose an anxiety disorder.
How often should it be retaken?
Every two to four weeks in active treatment is typical; trends matter more than any single total.
Is it free to use?
Yes — copy the check, scoring and AI report into your FormLM workspace at no cost.
Can I add my own items?
Yes — add a functioning or avoidance section; the report reflects the full answer set.
Does the AI report replace professional judgment?
No — it explains patterns in plain language so the client and clinician decide together.

Four minutes to a clear anxiety picture

Run a GAD-7-style check with graded AI interpretation and printable report — free to copy.