15 | Have you lost interest in things | 1/Yes 2/No |
16 | Do you feel that you are a worthless person | 1/Yes 2/No |
17 | Do you feel tired all the time | 1/Yes 2/No |
18 | Do you have uncomfortable feelings in your stomach | 1/Yes 2/No |
19 | Are you easily tired | 1/Yes 2/No |
20 | Has any thoughts of hurting yourself been in your mind | 1/Yes 2/No |
21 | If you ever had thoughts of hurting your self, please explain these thoughts |
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