Please answer all the questions and then click the submit button at the bottom of the page
Question 1In the past 4 weeks, about how often did you feel tired out for no good reason?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 2In the past 4 weeks, about how often did you feel nervous?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 3In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 4In the past 4 weeks, about how often did you feel hopeless?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 5In the past 4 weeks, about how often did you feel restless or fidgety?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 6In the past 4 weeks, about how often did you feel so restless you could not sit still?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 7In the past 4 weeks, about how often did you feel depressed?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 8In the past 4 weeks, about how often did you feel that everything was an effort?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 9In the past 4 weeks, about how often did you feel so sad that nothing could cheer you up?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
Question 10In the past 4 weeks, about how often did you feel worthless?None of the time .......
A little of the time ....
Some of the time ...
Most of the time...
All of the time ...
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