CDEs
Forms
In the past 7 days I had to work really hard to pay attention or I would make a mistake
When I'm really craving a cigarette, it feels like I'm in the grip of some unknown force that I cannot control.
In the past 7 days I could get up from the floor.
In the past 30 days How difficult has it been for your vagina to get lubricated ("wet") when you wanted it to?
In the past 7 days I am able to participate in leisure activities
In the past 7 days My child felt mad.
In the past 7 days My child felt worried.
Thinking about the past 4 weeks, My life was great.
In the past 7 days My child worried when he/she went to bed at night.
In the past 7 days My child could stand up on his/her tiptoes.
In the past 7 days, I felt refreshed.
In the past 7 days, I felt calm.
Are you able to get up off the floor from lying on your back without help?
In the past 7 days My child had trouble breathing because of his/her asthma.
In the past 7 days I had difficulty calming down
In the past 7 days My child was too tired to do sports or exercise.
In the past 7 days My child was too tired to enjoy the things he/she likes to do.
In the past 7 days When you had pain, how long did it last?
Lately Because of my illness, I felt left out of things
In the past 7 days, My child felt great.
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