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  • In the past 7 days I spent time with my friends
  • In the past 7 days I felt hopeless
  • In the past 7 days I felt that my life was empty
  • In the past 7 days I felt that nothing was interesting
  • In the past 7 days Other kids wanted to talk to me.
  • How often does your child feel that you listen to his or her ideas?
  • In the past 7 days I felt alone.
  • In general, would you say your quality of life is:
  • In the past 4 weeks, Your child has to use written lists more often than other people his/her age so he/she will not forget things
  • In the past 7 days My child felt everything in his/her life went wrong.
  • I have trouble remembering to do things (e.g., school projects)
  • In the past 7 days, when I was in pain it showed on my face.
  • In the past 7 days, when I was in pain I protected the part of my body that hurt.
  • In the past 7 days I am bothered by my limitations in regular family activities
  • Are you able to turn a key in a lock?
  • In the past 7 days, How many days was your child strong enough to lift heavy things over his/her head?
  • Thinking about the past 4 weeks, My child was happy with his/her life.
  • Thinking about the past 4 weeks, My child's life was the best.
  • How often do your parents listen to your ideas?
  • In the past 7 days My child could stand up without help.
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