Pre-Study, 8 Weeks, Post-Study
Please rank (Name) on the following items.
How would you rate (Name’s) mood on a typical day?
1	2	3	4	5
Depressed	Low mood	OK mood	Good mood	Great mood
How would you rate (Name’s) anxiety on a typical day?
1	2	3	4	5
No anxiety	Some Anxiety	Moderate Anxiety	A lot of anxiety	Extreme anxiety
How would you rate (Name’s) energy on a typical day?
1	2	3	4	5
No energy	Some Energy	Moderate Energy	Good energy	Great energy
How would you rate (Name’s) current level of pain on a typical day?
1	2	3	4	5
No pain	Some pain	Moderate pain	A lot of pain	Extreme Pain
How would you rate (Name’s) cognition?
1	2	3	4	5
No comprehension	Some comprehension	Understands 50% of things	Understands 75%	Great
How would you rate (Name’s) clarity?
1	2	3	4	5
Unclear	Low clarity	OK clarity	Clear	Fully clear
How would you rate (Name’s) alertness on a typical day?
1	2	3	4	5
Not alert	Low alertness	Moderately alert	Alert	Fully alert
How would you rate (Name’s) quality of life?
1	2	3	4	5
No quality	Low quality	Moderately quality	Good quality	Excellent quality