Questionnaire

Psychological Distress Questionnaire

These questions concern how you have been feeling over the past 30 days.

  
About how often did you feel tired out for no good reason?

During the last 30 days, about how often did you feel nervous?naa3901

During the last 30 days, about how often did you feel so nervous that nothing could calm you down?

During the last 30 days, about how often did you feel hopeless?

During the last 30 days, about how often did you feel restless or fidgety?

During the last 30 days, about how often did you feel so restless you could not sit still?

During the last 30 days, about how often did you feel depressed?

During the last 30 days, about how often did you feel that everything was an effort??

During the last 30 days, about how often did you feel so sad that nothing could cheer you up?

During the last 30 days, about how often did you feel worthless?


 

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