Step 2 of 4
How Have You Been Feeling?
Over the last 2 weeks , how often have you been bothered by the following?
Scoring guide: 0 = Not at all · 1 = Several days · 2 = More than half the days · 3 = Nearly every day
Generalised Anxiety Scale (GAD-7)
0
GAD-7 Score (out of 21)
Functional Impact
How difficult have these problems made it to do your work, manage at home, or get along with others?
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Step 3 of 4
Physical & Cognitive Symptoms
Anxiety affects the brain and body in many ways. Help us understand your experience.
Physical Symptoms
Do you experience any of the following physical symptoms when anxious? (select all that apply)
Cognitive & Brain Symptoms
Do you notice any of the following when anxious? (select all that apply)
Sleep & Anxiety
How does anxiety affect your sleep?
Do you experience panic attacks?
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Step 4 of 4
Triggers, Patterns & Background
Understanding the context of your anxiety helps us tailor your Brain Lab session.
Anxiety Triggers
What most commonly triggers your anxiety? (select all that apply)
Describe your main trigger or anxiety pattern in your own words
Patterns & Timing
When do you tend to feel most anxious?
How long have you been experiencing anxiety at this level?
— Select —
Less than 1 month
1–6 months
6–12 months
1–3 years
3–5 years
More than 5 years
Most of my life
Overall anxiety level right now, on a scale of 1–10
1 — Very low 10 — Extremely high
Hormonal & Life Stage Factors
Do you feel your anxiety is linked to hormonal changes or your menopause status?
Coping & Treatment History
What do you currently do to manage your anxiety? (select all that apply)
Is there anything specific you would like us to focus on in your Brain Lab session relating to anxiety?
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