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Over the last TWO WEEKS how often have you been bothered by any of the following problems?
Section One

Feeling nervous, anxious or on edge:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Not being able to stop or control worrying:
 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Worrying too much about different things:
 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Trouble relaxing:
 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Being so restless that it's hard to sit still:
 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Becoming easily annoyed or irritable:
 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Feeling afraid as if something awful might happen:
 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Section Two

Little interest or pleasure in doing things:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Feeling down, depressed, or hopeless:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Trouble falling or staying asleep, or sleeping too much:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Feeling tired or having little energy:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Poor appetite or overeating:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Feeling bad about yourself or that you are a failure or have let yourself or your family down:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Trouble concentrating on things, such as reading the newspaper or watching the television:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Moving or speaking so slowly that other people could have noticed - or the opposite, being so fidgety or restless that you have been moving around a lot more than usual:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Thoughts that you would be better off dead or hurting yourself in some way:

 (0) Not at all   (1) Several days (2) More than half the days (3) Nearly every day

Section Three

I've been feeling optimistic about the future

 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

I've been feeling useful

 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

I've been feeling relaxed
 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

I've been dealing with problems well

 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

I've been thinking clearly

 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

I've been feeling close to other people
 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

I've been able to make up my own mind about things

 (1) None of the time   (2) Rarely (3) Some of the time (4) Often (5) All the time

Δ