How have you been feeling?

A short, confidential check-in — about two minutes. Your answers go straight to Klara. No score or summary is shown here.

Leave this field blank:

Name (optional)

Are you currently pregnant or postpartum?

Pregnant Postpartum Neither

Over the last 2 weeks, how often have you been bothered by the following?

1. Feeling nervous, anxious, or on edge

Not at all Several days More than half the days Nearly every day

2. Not being able to stop or control worrying

Not at all Several days More than half the days Nearly every day

3. Worrying too much about different things

Not at all Several days More than half the days Nearly every day

4. Trouble relaxing

Not at all Several days More than half the days Nearly every day

5. Being so restless that it's hard to sit still

Not at all Several days More than half the days Nearly every day

6. Becoming easily annoyed or irritable

Not at all Several days More than half the days Nearly every day

7. Feeling afraid as if something awful might happen

Not at all Several days More than half the days Nearly every day

If any of these have been bothering you, how much have they gotten in the way of work, things at home, or being with people?

Not difficult at all Somewhat difficult Very difficult Extremely difficult

Please answer all 7 questions before sending.

Sent

Klara has your answers and will follow up with you.

This check-in uses the GAD-7, developed by Robert L. Spitzer, Janet B. W. Williams, Kurt Kroenke and colleagues. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–1097. Released without copyright restriction by Pfizer Inc. in 2010 — no permission required to reproduce, translate, display, or distribute.

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