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Mental Health
Mental Health
Name
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Name
First Name
First Name
Last Name
Last Name
Email
Date
Mental Health
In the last 2 weeks, how often have you been bothered by the following problems?
Little interest or pleasure in doing things.
Not at all
Several days
More than half the days
Nearly everyday
Feeling down, depressed or hopeless.
Not at all
Several days
More than half the days
Nearly everyday
Feeling nervous, anxious or on edge.
Not at all
Several days
More than half the days
Nearly everyday
Not being able to stop or control worrying.
Not at all
Several days
More than half the days
Nearly everyday
Submit Answers
If you are human, leave this field blank.