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  • In the past 30 days When you have had sexual activity, how much have you enjoyed it?
  • In the past 7 days I had trouble doing schoolwork when I had pain.
  • In the past 7 days I am able to socialize with my friends
  • In the past 7 days My child was so angry he/she felt like yelling at somebody.
  • Thinking about the past 4 weeks, My life was outstanding.
  • In the past 7 days My child worried about what could happen to him/her.
  • Thinking about my life, I am positive about my future.
  • Thinking about my life, I expect to enjoy my future life.
  • In the past 7 days I could button my shirt or pants.
  • In the past 7 days Being worried made it hard for me to be with my friends
  • In the past 7 days It was hard to do schoolwork because I was nervous or worried
  • In the past 7 days I felt anxious
  • In the past 7 days I felt nervous
  • In the past 7 days I had trouble watching TV when I had pain
  • In the past 7 days, I felt happy.
  • In the past 7 days My child felt upset.
  • In the past 7 days I felt physically tense during the middle of the night or early morning hours
  • In the past 7 days, My child felt under pressure.
  • In the past 7 days My child had trouble sleeping at night because of asthma.
  • In the past 7 days, How many days were you strong enough to open a jar by yourself?
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