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In the past 7 days Many situations made me worry
In the past 7 days My child got tired easily.
In the past 7 days My child could put on his/her shoes without help.
In the past 7 days I felt tense
In the past 7 days My child and his/her friends helped each other out.
In the past 7 days Other kids wanted to talk to my child.
In the past 7 days When my child got mad, he/she stayed mad.
In the past 7 days, My child was in a good mood.
In the past 7 days, My child had pain that really bothered him/her.
In the past 7 days I had trouble finishing things because I was too tired.
In the past 7 days Everything bothered my child.
In the past 7 days My child's asthma bothered him/her.
In the past 7 days It was hard for my child to pay attention when he/she had pain.
<u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another
In general, how would you rate your child's physical health?
In the past 7 days, I felt that my problems kept piling up.
In the past 7 days My chest felt tight because of my asthma.
In the past 7 days My asthma bothered me.
In the past 7 days My child felt angry when he/she had pain.
In the past 7 days It was hard for my child to pay attention when he/she had pain.
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