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K-10 Screening Tool

The following ten questions ask about how you have been feeling in the last four weeks. For each question, tick the box under the option that best describes the amount of time you felt that way.
1) In the last four weeks how often did you feel tired out for no good reason?
2) In the last four weeks about how often did you feel nervous?
3) In the last four weeks about how often did you feel so nervous that nothing could calm you down?
4) In the last four weeks about how often did you feel hopeless?
5) In the last four weeks about how often did you feel restless or fidgety?
6) In the last four weeks about how often did you feel so restless you could not sit still?
7) In the last four weeks about how often did you feel depressed?
8) In the last four weeks about how often did you feel that everything was an effort?
9) In the last four weeks about how often did you feel so sad that nothing could cheer you up?
10) In the last four weeks about how often did you feel worthless?
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