Welcome to this survey. Press Next to begin.

Please answer the following questions using the following scale:

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Feeling nervous, anxious or on edge?

Not being able to stop or control worrying?

Worrying too much about different things?

Trouble relaxing?

Being so restless that it is hard to sit still?

Becoming easily annoyed or irritable?

Feeling afraid as if something awful might happen?

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