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  • In the past 7 days I had trouble sleeping because of bad dreams
  • In the past 7 days Pain woke me up
  • In the past 7 days, My child felt calm.
  • In the past 7 days I felt upset.
  • In the past 7 days, My child felt joyful.
  • In the past 7 days My child was too tired to do things outside.
  • In the past 7 days My child felt wheezy because of his/her asthma.
  • In the past 7 days It has seemed like my brain was not working as well as usual
  • In the past 7 days My child had trouble sleeping when he/she had pain.
  • <u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Dressing yourself without help
  • <u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Sweeping or mopping
  • <u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)
  • In the past 7 days I felt close to my friends
  • In the past 7 days, My heart beat faster than usual, even when I was not exercising or playing hard.
  • In the past 7 days, I had a headache.
  • In the past 7 days, My back hurt.
  • In the past 7 days My child felt like he/she couldn't do anything right.
  • In the past 7 days, How many days did your child exercise or play so hard that he/she felt tired?
  • In the past 7 days, How many days was your child physically active for 10 minutes or more?
  • In the past 7 days I felt sad
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