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1900 F Street
Geneva, NE 68361

(402) 759-3167

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Behavorial Questionnaire: GAD-7

Over the last 2 weeks, how often have you been bothered by any of the following problems?
Feeling nervous, anxious, or on edge
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Not being able to stop or control worrying
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Worrying too much about different things
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Trouble relaxing
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Being so restless that it's hard to sit still
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Becoming easily annoyed or irritable
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Feeling afraid as if something awful might happen
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1900 F Street Geneva, NE 68361 • (402) 759 - 3167

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FCH is an Equal Opportunity Provider and Employer

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1900 F Street
Geneva, NE 68361

402-759-3167