The Psych Wellbeing | Anxiety & Worry Check-in (GAD-7)

🌸 A note to you: This is a self-reflection tool, not a diagnosis or medical assessment. It's simply a way to notice patterns in your anxiety and worry over the past two weeks. Your answers can help guide a conversation with your therapist or counsellor.

Your Name

Date of reflection

Therapist / Counsellor

Over the last 2 weeks, how often have you experienced the following?	Several days	More than half the days	Nearly every day
1. Feeling nervous, anxious, or on edge	1	2	3
2. Not being able to stop or control worrying	1	2	3
3. Worrying too much about different things	1	2	3
4. Trouble relaxing	1	2	3
5. Being so restless that it's hard to sit still	1	2	3
6. Becoming easily annoyed or irritated	1	2	3
7. Feeling afraid as if something awful might happen	1	2	3

Your reflection summary

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📌 How have these feelings affected your daily life?

If you've experienced any of the above, how difficult have these feelings made it for you to do your work, take care of things at home, or get along with others?

Not difficult at all Somewhat difficult Very difficult Extremely difficult

📅 When did these feelings begin? (optional)