Instructions:

Please read each statement and select the option that best reflects how much the statement applied to you over the past week.

There are no right or wrong answers. Try not to spend too much time on any one statement.

Response Options:

  • Never – Did not apply to me at all
  • Sometimes – Applied to me to some degree, or some of the time
  • Often – Applied to me to a considerable degree, or a good part of the time
  • Almost Always – Applied to me very much, or most of the time

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