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* 1. How do you feel, in your mood ?

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* 2. Which of the following best describes you day to day ?

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* 3. Do you find pleasure interest in doing things ?

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* 4. How is your sleep?

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* 5. How are your energy levels?

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* 6. How is your appetite?

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* 7. Do you feel that you have failed?

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* 8. Do you have trouble concentrating?

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* 9. I am worried about my health problems?

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* 10. I have lost interest in my sex life.

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