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  • In the past 7 days My child could open a jar by himself/herself.
  • Thinking about your child's life, My child knows where he/she is going in life.
  • In the past 7 days I was so tired it was hard for me to pay attention.
  • In the past 7 days My child was so tired it was hard for him/her to pay attention.
  • In the past 7 days I was irritable around other people
  • In the past 7 days My child had trouble breathing because of his/her asthma.
  • In the past 4 weeks, I have trouble remembering to do things like school projects or chores
  • In the past 7 days My thinking has been slow
  • In the past 7 days, How many days were you strong enough to open a heavy door?
  • Thinking about your child's life, My child thinks his/her life is filled with meaning.
  • <u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Making a bed
  • In the past 7 days My friends and I helped each other out
  • In the past 7 days I had fun with my friends
  • In the past 7 days My child felt everything in his/her life went wrong.
  • In the past 7 days It was hard for my child to have fun.
  • In the past 7 days, How many days did your child run for 10 minutes or more?
  • In general, would you say your health is:
  • In the past 4 weeks, Your child has to read things several times to understand them
  • In the past 7 days It was hard to take a deep breath because of my asthma.
  • In the past 7 days My child felt like he/she couldn't do anything right.
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