GAD-7 Anxiety Calculator
Score the GAD-7 (Generalized Anxiety Disorder-7) questionnaire to assess anxiety severity from minimal to severe.
About this calculator
This calculator adds seven frequency ratings into a GAD-7 total from 0 to 21, reproducing the GAD-7 (Generalized Anxiety Disorder 7-item scale) validated by Spitzer, Kroenke, Williams, and Lowe in a 2006 Archives of Internal Medicine study. Each response is rounded to a whole number and constrained to the questionnaire's 0–3 range before it enters the sum. The seven items therefore carry exactly equal weight: moving any one answer upward by one response level adds one point. No single symptom dominates the arithmetic. What matters most is the combined pattern across nervousness, difficulty controlling worry, excessive worry, trouble relaxing, restlessness, irritability, and apprehensive fear. The numeric severity result is a category code derived from the total. Scores from 0 through 4 produce level 1, 5 through 9 level 2, 10 through 14 level 3, and 15 through 21 level 4.
Those levels correspond to minimal, mild, moderate, and severe in the displayed label. Crossing a boundary can therefore change severity even though the total rises by only one point. This implementation is a scoring aid, not a diagnosis. It does not evaluate functional impairment, duration beyond the period used when answering, medical causes, substance effects, panic symptoms, or clinical context. It also does not treat one question as more urgent than another. Use the total and category as a concise summary to discuss with a qualified professional, especially when symptoms are distressing or disruptive.
Medical Disclaimer
This calculator is for informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Never disregard professional medical advice or delay seeking it because of results from this tool.
Inputs
Results
Total GAD-7 Score
0 / 21
Severity
1 (1=Minimal, 2=Mild, 3=Moderate, 4=Severe)
Figures current as of 2006. Source: Spitzer RL, Kroenke K, Williams JBW, Lowe B. A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Arch Intern Med. 2006;166(10):1092-1097.
How to Use This Calculator
- Rate each of the 7 GAD-7 questions from 0 (not at all) to 3 (nearly every day) based on the past 2 weeks.
- Questions cover nervousness, uncontrollable worry, relaxation difficulty, restlessness, irritability, and fear.
- Review the Total GAD-7 Score: 0–4 = minimal, 5–9 = mild, 10–14 = moderate, 15–21 = severe anxiety.
- Read Severity as a category code from 1 (minimal) through 4 (severe), not as another symptom count.
- Use the result as a conversation starting point with a mental health professional rather than a clinical diagnosis.
What each input means
- Feeling Nervous, Anxious
- 0 = Not at all, 1 = Several days, 2 = More than half the days, 3 = Nearly every day.
How this is calculated
Worked example, using the default values
- Identify Input Parameters4 parametersFeeling Nervous, Anxious = 0, Not Able to Stop Worrying = 0, Worrying Too Much = 0, Trouble Relaxing = 0 = 7 input(s) provided
- Calculate Total GAD-7 ScoreTotal GAD-7 Score0 = 0
- Calculate SeveritySeverity1 = 1
Figures and sources
- GAD-7 (Generalized Anxiety Disorder 7-item scale) — items, scoring, and severity bands (2006) — Spitzer RL, Kroenke K, Williams JBW, Lowe B. A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Arch Intern Med. 2006;166(10):1092-1097.
Engine last updated . Checked against 4 independently-derived tests — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.
Frequently Asked Questions
How does each response affect the GAD-7 total?
Every question contributes an integer from 0 through 3 after rounding and range limiting. A one-level increase on any item adds exactly one point, so all seven symptom questions have equal mathematical weight.
When does the displayed severity level change?
The engine assigns level 1 for totals below 5, level 2 beginning at 5, level 3 beginning at 10, and level 4 beginning at 15. The category remains fixed between those boundaries. These cutoffs come from the GAD-7's original 2006 validation study by Spitzer, Kroenke, Williams, and Lowe in the Archives of Internal Medicine, which established minimal, mild, moderate, and severe anxiety bands at those same score thresholds.
Can the calculator identify a specific anxiety disorder?
No. It reports only the summed questionnaire score and its four-level severity band. It does not incorporate impairment, clinical history, other anxiety presentations, medication effects, or a professional diagnostic interview.
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