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Have You Recently
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| 1. Been feeling perfectly well and in good health? |
| 2. Been feeling in need of a good tonic? |
| 3. Been feeling run down and out of sorts? |
| 4. Felt that you are ill? |
| 5. Been getting any pains in your head? |
| 6. Been getting a feeling of tightness or pressure in your head? |
| 7. Been having hot or cold spells? |
| 8. Lost much sleep over worry? |
| 9. Had difficulty in staying asleep once you are off? |
| 10. Felt constantly under strain? |
| 11. Been getting edgy and bad-tempered? |
| 12. Been getting scared or panicky for no good reason? |
| 13. Found everything getting on top of you? |
| 14. Been feeling nervous and strung-up all the time? |
| 15. Been managing to keep yourself busy and occupied? |
| 16. Been taking longer over the things you do? |
| 17. Felt on the whole you were doing things well? |
| 18. Been satisfied with the way you've performed your task? |
| 19. Felt that you are playing a useful part in things? |
| 20. Felt capable of making decisions about things? |
| 21. Been able to enjoy your normal day-to-day activities? |
| 22. Been thinking of yourself as a worthless person? |
| 23. Felt that life is entirely hopeless? |
| 24. Felt that life isn't worth living? |
| 25. Thought of the possibility that you might make away with yourself? |
| 26. Found at times you couldn't do anything because your nerves were too bad? |
| 27. Found yourself wishing you were dead and away from it all? |
| 28. Found that the idea of taking your own life kept coming into your mind? |
