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GAD-7 Anxiety Test: Scoring & What Your Score Means

A clear guide to GAD-7 scoring: how the 7 questions are scored 0–21, what each severity band (minimal, mild, moderate, severe) means, and the 10-point cut-off for likely anxiety.

Maya Lindqvist · Senior Health WriterMedically reviewed by Dr. James Okonkwo, MDPublished June 7, 2026 · 7 min read

The GAD-7 is the most widely used questionnaire in the world for measuring anxiety. Seven short questions, a score from 0 to 21, and four severity bands — that's the whole tool. But the number only helps if you know what it means.

This guide explains exactly how GAD-7 scoring works, what each band tells you, and where the all-important cut-off sits.

Take the GAD-7 first

If you haven't already, answer the seven questions — your own score makes the rest of this guide concrete.

Try it nowFree · runs right here · ~2 min

Key takeaways

  • The GAD-7 has 7 questions, each scored 0 (not at all) to 3 (nearly every day), over the last 2 weeks.
  • Total scores run from 0 to 21 and fall into four bands: minimal, mild, moderate, and severe.
  • A score of 10 or more is the validated cut-off for likely generalised anxiety disorder.
  • It's a screening tool — only a clinician can diagnose an anxiety disorder after a full assessment.

How GAD-7 scoring works

For each of the seven items you choose how often it has bothered you over the last two weeks:

ResponsePoints
Not at all0
Several days1
More than half the days2
Nearly every day3

Add the seven answers together and you get a single score between 0 and 21. There's no weighting and no reverse scoring — every question counts the same.

What your score means

Drag the slider to see how each total maps onto its severity band.

GAD-7: drag to see what each score means

021
8 / 21Mild anxiety

Some anxiety symptoms. Worth monitoring and using self-help strategies.

What each band suggests doing

Reading your result

  1. 0–4 · MinimalAnxiety isn't a significant problem right now. Keep up the basics — sleep, movement, time outdoors — and retake if things change.
  2. 5–9 · MildSome symptoms are present. Self-help (sleep, exercise, reducing caffeine and alcohol, breathing techniques) and keeping an eye on the trend are reasonable first steps.
  3. 10–14 · ModerateYou're at or above the cut-off for likely GAD. Consider speaking to a GP about talking therapies such as CBT, which has strong evidence for anxiety.
  4. 15–21 · SevereAnxiety is frequent and intense. A professional assessment is advised, and effective treatments — therapy and, where appropriate, medication — are available.

Myth

A high GAD-7 score means I have an anxiety disorder.

Why the GAD-7 is trusted

Developed by Robert Spitzer and colleagues in 2006, the GAD-7 was validated in thousands of primary-care patients. Although designed for generalised anxiety disorder, it also performs well as a screen for panic disorder, social anxiety disorder, and PTSD — which is why it's so widely used in clinics and online.

For an even quicker check, the first two questions form the GAD-2: a 0–6 screen where a score of 3 or more is the prompt to complete the full GAD-7.

Your result, interpreted

A single GAD-7 score is a snapshot, not a verdict. Retaking it every couple of weeks is often more informative than any one result — a falling score is one of the clearest signs that things are improving.

Frequently asked questions

How is the GAD-7 scored?
Each of the 7 questions is scored from 0 (not at all) to 3 (nearly every day) based on the last two weeks. The answers are added together for a total between 0 and 21. Higher scores mean more frequent, more intense anxiety symptoms.
What is a normal GAD-7 score?
A score of 0–4 is considered minimal anxiety and is the 'normal' range. 5–9 is mild, 10–14 is moderate, and 15–21 is severe. Many people without an anxiety disorder score in the 0–4 or low 5–9 range.
What GAD-7 score indicates anxiety?
A score of 10 or more is the standard cut-off for likely generalised anxiety disorder and the point at which a professional assessment is recommended. At this threshold the GAD-7 detects GAD with about 89% sensitivity and 82% specificity.
What does the GAD-7 scale measure?
It measures the frequency of seven core anxiety symptoms over the past two weeks — including feeling nervous, uncontrollable worrying, restlessness, irritability, and a sense of dread. It's a measure of anxiety severity, not a diagnosis.
Is a GAD-7 score of 15 bad?
A score of 15–21 falls in the severe anxiety band. It suggests frequent, intense symptoms and that a professional assessment is advisable. The good news is that severe anxiety responds well to evidence-based treatments such as CBT and, where appropriate, medication.

Free interactive test · ~2 min

Take the free GAD-7 anxiety test

Seven questions, two minutes. Get your 0–21 score, your severity band, and a clear explanation of what it means.

Take the GAD-7 test

Keep reading

References

  1. 1.Spitzer RL, Kroenke K, Williams JBW, Löwe B (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.
  2. 2.Kroenke K, et al. (2007). Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection (GAD-7 and GAD-2).
  3. 3.NHS — Anxiety, fear and panic

This guide is educational and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified clinician about your individual circumstances.