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  • How often does your child have fun with friends?
  • In the past 7 days I felt like I couldn't do anything right.
  • How often do you feel really sad?
  • In the past 4 weeks, Your child forgets things easily
  • In the past 7 days, I felt I had too much going on.
  • In the past 7 days It was hard for my child to walk one block when he/she had pain.
  • I drop everything to go out and buy cigarettes.
  • In the past 7 days I have been physically able to do the activities I enjoy most.
  • CURRENT level of confidence I can follow directions when my doctor changes my medications.
  • In the past 30 days When you have had sexual activity, how satisfying has it been?
  • In the past 7 days I had trouble starting things because I was too tired
  • I was so tired it was hard for me to pay attention.
  • In the past 7 days, How many days did you exercise <u>really hard</u> for 10 minutes or more?
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