In the past four weeks, how often did you feel worn out for no real reason?
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In the past 4 weeks, how often did you feel nervous?
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In the past 4 weeks, how often did you feel so nervous that nothing could calm you down?
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In the past 4 weeks, how often did you feel hopeless?
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In the past 4 weeks, how often did you feel restless or fidgety?
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In the past 4 weeks, how often did you feel so restless you could not sit still?
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In the past 4 weeks, how often did you feel depressed?
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In the past 4 weeks, how often did you feel that everything was an effort?
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In the past 4 weeks, how often did you feel so sad that nothing could cheer you up?
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In the past 4 weeks, how often did you feel worthless?
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