Geriatric Anxiety Scale GAS Version 2.0
The Geriatric Anxiety Scale (GAS) is designed to assess anxiety symptoms in older adults. It presents common symptoms and requests users to indicate their experiences over the past week. This file includes scoring instructions and details on how to interpret results.
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How do I fill this out?
To fill out the Geriatric Anxiety Scale, start by reading each symptom carefully. Indicate how often you have experienced each symptom during the past week, including today. Use the corresponding boxes to mark your answers based on the frequency you experienced each symptom.

How to fill out the Geriatric Anxiety Scale GAS Version 2.0?
1
Read each symptom on the Geriatric Anxiety Scale carefully.
2
Reflect on your experiences over the past week.
3
Select the appropriate frequency for each symptom.
4
Total your scores for the scorable items.
5
Review the scoring instructions for interpretation.
Who needs the Geriatric Anxiety Scale GAS Version 2.0?
1
Mental health professionals who work with older adults.
2
Clinicians assessing anxiety symptoms in geriatric patients.
3
Researchers studying anxiety among older populations.
4
Caregivers seeking to understand their loved ones' emotional well-being.
5
Individuals experiencing anxiety and wishing to self-assess.
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What are the instructions for submitting this form?
To submit the completed Geriatric Anxiety Scale form, please email it to your healthcare provider or the relevant mental health professional. If applicable, use any specific online submission systems prescribed by your clinician. Ensure you retain a copy for your records and follow up with a call or email to confirm receipt of your submission. For best results, discuss your results during your next appointment.
What are the important dates for this form in 2024 and 2025?
No specific important dates apply to the usage of the Geriatric Anxiety Scale in 2024 or 2025, however, regular evaluation is recommended. Consult a healthcare provider for personalized timelines for assessments.

What is the purpose of this form?
The purpose of the Geriatric Anxiety Scale (GAS) is to provide a standardized assessment for anxiety symptoms in older adults. This tool allows clinicians and practitioners to identify the severity and impact of anxiety in this demographic. Through careful completion of the scale, users can gain insight into emotional well-being.

Tell me about this form and its components and fields line-by-line.

- 1. My heart raced or beat strongly.: Indicates physical anxiety symptoms.
- 2. My breath was short.: Reflects breathing difficulties associated with anxiety.
- 3. I had an upset stomach.: Points to gastrointestinal distress due to anxiety.
- 4. I felt like things were not real or like I was outside of myself.: Highlights depersonalization or derealization experiences.
- 5. I felt like I was losing control.: Expresses feelings of helplessness.
- 6. I was afraid of being judged by others.: Indicates social anxiety and fear of evaluation.
- 7. I was afraid of being humiliated or embarrassed.: Reflects fears about social situations.
- 8. I had difficulty falling asleep.: Shows sleep disturbances related to anxiety.
- 9. I had difficulty staying asleep.: Indicates issues with sleep continuity.
- 10. I was irritable.: Highlights mood disturbances often accompanying anxiety.
- 11. I had outbursts of anger.: Indicates emotional dysregulation.
- 12. I had difficulty concentrating.: Points to cognitive challenges experienced due to anxiety.
- 13. I was easily startled or upset.: Reflects heightened emotional sensitivity.
- 14. I was less interested in doing something I typically enjoy.: Indicates a loss of interest due to anxiety.
- 15. I felt detached or isolated from others.: Highlights feelings of loneliness.
- 16. I felt like I was in a daze.: Indicates cognitive fog often associated with anxiety.
- 17. I had a hard time sitting still.: Points to restlessness often linked with anxiety.
- 18. I worried too much.: Reflects excessive worrying patterns.
- 19. I could not control my worry.: Indicates inability to regulate anxiety.
- 20. I felt restless, keyed up, or on edge.: Highlights physical restlessness due to anxiety.
- 21. I felt tired.: Notes fatigue, often associated with chronic anxiety.
- 22. My muscles were tense.: Indicates muscle tension as a response to anxiety.
- 23. I had back pain, neck pain, or muscle cramps.: Highlights somatic symptoms of anxiety.
- 24. I felt like I had no control over my life.: Reflects feelings of helplessness.
- 25. I felt like something terrible was going to happen to me.: Expresses anticipatory anxiety.
- 26. I was concerned about my finances.: Indicates financial worries linked with anxiety.
- 27. I was concerned about my health.: Expresses health-related anxiety.
- 28. I was concerned about my children.: Highlights parental anxiety.
- 29. I was afraid of dying.: Reflects existential anxiety.
- 30. I was afraid of becoming a burden to my family or children.: Indicates fears about impacting family negatively.
What happens if I fail to submit this form?
If you fail to submit the form, it may hinder your ability to receive appropriate support or resources for managing anxiety. Additionally, these assessments contribute to a comprehensive understanding of mental health needs. Without submission, both the clinician and the individual miss out on valuable insights.
- Lack of support: Not submitting may mean missing out on professional help.
- Inaccurate assessment: A failure to submit could lead to an incomplete picture of your anxiety.
- Prolonged distress: Not filling out the form may prolong anxiety symptoms without intervention.
How do I know when to use this form?

- 1. Clinical assessments: Useful for mental health professionals assessing clients.
- 2. Self-assessment: Enables individuals to reflect on their anxiety experiences.
- 3. Research purposes: Can be employed in studies related to anxiety in geriatric populations.
Frequently Asked Questions
How do I fill out the Geriatric Anxiety Scale?
Read each symptom, indicate the frequency of your experiences, and total your scores based on the instructions.
Can I edit the Geriatric Anxiety Scale PDF?
Yes, you can easily edit the PDF using PrintFriendly's editing tools.
Is it possible to share my completed form?
Absolutely! You can share the completed form via a link or download it for email.
How is the scoring calculated?
The total score is derived from summing the values assigned to each symptom, as detailed in the instructions.
Who is this scale intended for?
This scale is specifically designed for assessing anxiety in older adults.
What should I do if I have questions while filling it out?
Feel free to reach out to a mental health professional for assistance.
Can I use this scale for self-assessment?
Yes, individuals can use the Geriatric Anxiety Scale for personal evaluation of their anxiety symptoms.
Are there instructions for interpreting the results?
Yes, the form includes clear guidance on interpreting your total scores.
Can I print the edited version?
Yes, you can print the edited PDF directly from PrintFriendly.
How do I submit the completed form?
Submit it via email or through your healthcare provider's submission process.
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