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Mood Questionnaire

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    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