CDEs
Forms
In the past 30 days How often have you felt like you wanted to have sex?
In the past 7 days My child could move his/her legs.
In the past 7 days My child could stand up on his/her tiptoes.
In the past 7 days It was hard for me to walk one block when I had pain.
In the past 7 days my pain was so bad that I needed to take medicine for it
In the past 7 days I have been able to pay attention and keep track of what I am doing without extra effort
In the past 7 days I have had trouble forming thoughts
In the past 7 days My child worried about what could happen to him/her.
In the past 7 days I was too tired to eat
Thinking about the past 4 weeks, I enjoyed my life.
In the past 7 days My child could move his/her legs.
In the past 7 days Other kids wanted to be with my child.
Thinking about my life, I know where I am going in life.
In the past 7 days I got scared really easy.
In the past 7 days I have been able to concentrate
In the past 7 days My worries overwhelmed me
In the past 7 days I am satisfied with my ability to perform my daily routines
In the past 7 days I am satisfied with my ability to work (include work at home)
In the past 7 days I felt fatigued
In the past 7 days My child was good at making friends.
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