| A. Over the last 2 weeks, how often have you been bothered by any of the following problems? | Not at all (0) | Several days (1) | More than half the days (2) | Nearly every day (3) |
| Q1. Feeling nervous, anxious or on edge | ||||
| Q2. Not being able to stop or control worrying | ||||
| Q3. Worrying too much about different things | ||||
| Q4. Trouble relaxing | ||||
| Q5. Being so restless that it is hard to sit still | ||||
| Q6. Becoming easily annoyed or irritable | ||||
| Q7. Felling afraid as if something awful might happen |
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