Questions

Responses and scores

1) Do you ever feel like crying, or do you cry?

1 No

2 Sometimes

3 Almost all the time

2) Do you always feel miserable and unhappy?

1 No

2 Sometimes

3 Almost all the tome

3) Do you always feel nervous and irritated?

1 No

2 Sometimes

3 Almost all the time

4) Do you feel annoyed and aggravated over small things?

1 No

2 Sometimes

3 Almost all the time

5) Do you have a normal appetite?

3 No

2 I sometimes lose my appetite

1 Yes

6) Are you in your best mood in the morning?

3 No

2 Sometimes

1 Almost all the time

7) Do you get somewhat tired?

1 No

2 Sometimes

3 Almost all the time

8) Are you able to put your usual effort into your work?

3 No

2 I sometimes can’t

1 Yes

9) Do you feel satisfied with the sleep you are getting?

3 No

2 I sometimes don’t feel satisfied

1 Yes

10) Do you have trouble falling asleep for any reason other than pain?

1 No

2 Sometimes

3 Almost all the time