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For most of the
time over the past two weeks
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1.
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Have you had trouble
keeping your mind on things you were reading, or watching
on television?
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YES
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NO
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| |
|
|
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|
2.
|
Have you had more
trouble with your memory than usual?
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YES
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NO
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| |
|
|
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3.
|
Have you feeling
unusually tired every day?
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YES
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NO
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| |
|
|
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4.
|
Have you found it
hard to enjoy life?
|
YES
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NO
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| |
|
|
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5.
|
Have you had a lot
of different physical symptoms or unusual pains?
|
YES
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NO
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| |
|
|
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6.
|
Have you been feeling
emotionally numb, not caring, sad, unhappy or miserable?
|
YES
|
NO
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| |
|
|
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7.
|
Have you been feeling
more pessimistic or negative than usual?
|
YES
|
NO
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| |
|
|
|
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8.
|
Have you lost interest
or enjoyment in the things you normally do?
|
YES
|
NO
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| |
|
|
|
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9.
|
Have you been less
motivated, less productive, or found it more difficult
to cope than usual?
|
YES
|
NO
|
| |
|
|
|
|
10.
|
Have you been sleeping
worse than usual?
|
YES
|
NO
|
| |
|
|
|
|
11.
|
Have you been less
interested in talking to people or mixing with people
than usual?
|
YES
|
NO
|
| |
|
|
|
|
12.
|
Have you been more
worried, nervous or uptight than usual?
|
YES
|
NO
|
| |
|
|
|
|
13.
|
Have you been more
easily tearful, or crying more than usual?
|
YES
|
NO
|
| |
|
|
|
|
14.
|
Have you enjoyed
your food less than usual?
|
YES
|
NO
|
| |
|
|
|
|
15.
|
Has your sexual
interest been less than usual?
|
YES
|
NO
|
| |
|
|
|
|
16.
|
Have you been less
self-confident than usual?
|
YES
|
NO
|
| |
|
|
|
|
17.
|
Have you been more
anxious, nervous or worried than usual?
|
YES
|
NO
|
| |
|
|
|
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18.
|
Have you been more
easily annoyed or more impatient than usual?
|
YES
|
NO
|
| |
|
|
|
|
19.
|
Has life seemed
meaningless?
|
YES
|
NO
|
| |
|
|
|
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20.
|
Has dying looked
like a good option?
|
YES
|
NO
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| |
|
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