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Make check mark (√) n appropriate column | A little of the time | Some of the time | Good part of the time | Most of the time |
1. I feel down-hearted and blue |
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2. Morning is when I feel the best |
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3. I have crying spells or feel like it |
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4. I have trouble sleeping at night |
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5. I eat as much as I used to |
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6. I still enjoy sex |
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7. I notice that l am losing weight |
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8. I have trouble with constipation |
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9. My heart beats faster than usual |
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10. I get tired for no reason |
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11. My mind is as dear as it used to be |
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12. I find it easy to do the things l used to |
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13. I am restless and can’t keep still |
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14. I feel hopeful about the future |
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15. I am more irritable than usual |
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16. I find it easy to make decisions |
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17. I feel that I am useful and needed |
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18. My life is pretty full |
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19. I feel that others would be better off if l were dead |
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20. I still enjoy the things to do |
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