CDEs
Forms
In the past 7 days I have trouble keeping track of what I was doing when interrupted
In the past 7 days My problems with memory, concentration, or making mental mistakes have interfered with my ability to work
In the past 7 days I have had trouble finding the right word(s) to express myself
In the past 7 days I have needed medical instructions repeated because I could not keep them straight
In the past 7 days I have had more problems conversing with others
In the past 7 days I have had trouble finding my way to a familiar place
In the past 7 days I was so mad that I felt like breaking things.
In the past 7 days I was so mad that I felt like hitting something.
In the past 7 days It was hard to do schoolwork because I was angry.
In the past 7 days I was so mad that I felt like yelling at someone.
In the past 7 days I felt angry.
In the past 7 days I was so mad that I felt like throwing something.
In the past 7 days I was so mad that I acted grouchy towards other people.
In the past 7 days Being angry made it hard for me to be with my friends.
In the past 7 days I can keep up with my work responsibilities (include work at home)
In the past 7 days My child could stand up without help.
In the past 7 days, My child's muscles felt tight.
In the past 7 days I could open a jar by myself.
Thinking about the past 4 weeks, I had a good life.
In the past 7 days My child felt scared that he/she might have trouble breathing because of asthma.
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