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Home
Contact Us
Resources
Check Insurance Coverage
Blog
Depression Assessment (PHQ9)
Anxiety Assessment (GAD7)
Forms
Patient Intake
Telehealth Consent
Release of Information
Social Media Practices
Group Sessions Consent
Note Writing Informed Consent
EMDR Consent
jesse@lyoncounseling.care
(321) 430-5966
315 Wymore Road Winter Park, FL 32789
1501 W Colonial Drive Orlando, FL 32804
728 Fentress Blvd Daytona Beach, FL 32114
Account
Book Appointment
GAD-7 Assessment
Select Therapist
Please select a therapist
Alex Cisneros
Bradley Mack
Brittany O’Sullivan
Brody Srodes
Deona Webster
Glynn Vincent
Honey O'Sullivan
Jesse Lyon
Joy Seu
Kaleb Taylor
Laura Booth
Maria Marcano
Mariam Cordero
Sara Edwards
First Name
Last Name
Email
Date of Birth
Over the
last two weeks
, how often have you been bothered by any of the following problems?
Feeling nervous, anxious, or on edge
Not at All
Several Days
More than Half the Days
Nearly Every Day
Not being able to stop or control worrying
Not at All
Several Days
More than Half the Days
Nearly Every Day
Worrying too much about different things
Not at All
Several Days
More than Half the Days
Nearly Every Day
Trouble relaxing
Not at All
Several Days
More than Half the Days
Nearly Every Day
Being so restless that it is hard to sit still
Not at All
Several Days
More than Half the Days
Nearly Every Day
Becoming easily annoyed or irritable
Not at All
Several Days
More than Half the Days
Nearly Every Day
Feeling afraid, as if something awful might happen
Not at All
Several Days
More than Half the Days
Nearly Every Day
If you checked any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?
Not Difficult at All
Somewhat Difficult
Very Difficult
Extremely Difficult
Submit
