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* 1. Do you suffer from a mood, rheumatic or mental health disorder?

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* 2. Are you currently taking psychiatric medications including benzodiazepines, anti-depressants, SSRIs, MAOIs or psychotropics?

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* 3. Do you regularly have trouble sleeping or staying asleep at night or do you use sleep aids?

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* 4. How often do you experience panic attacks or anxiety?

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* 5. How much stress do you exerience on a regular basis?

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* 6. Do you experience drastic mood swings?

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* 7. How often does your mood or mental health interfere with your daily life?

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