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Surveys
2015
April
I
Instruments of Measure
Instruments of Measure
0%
Exit Survey
In the last month, how often did you feel confident about your ability to handle stress?
never
almost never
sometimes
fairly often
very often
In the last month, how often did you feel angry because of things out of your control?
never
almost never
sometimes
fairly often
very often
In the last two weeks, how often have you felt things are going well for you?
never
almost never
sometimes
fairly often
very often
In the Lat two weeks, how often did you feel you were in control of your life?
never
almost never
sometimes
fairly often
very often
Sadness
0 I do not feel sad
1 I feel sad a little
2 I am always sad
3 I am so sad I cannot stand it
Loss of Pleasure and Enjoyment of life
0 I am very pleased and I enjoy life
1 I dont enjoy things as much anymore
2 I get very little pleasure from things I once enjoyed
3 I can no longer do anything that gives me pleasure
Worthlessness
0 I do not feel that I am worthless
1 I am not as useful anymore
2 I am worthless compared to others
3 I feel utterly worthless
Irritability
0 I am not irritable
1 I am slightly more irritable than usual
2 I am more irritable than usual
3 I am always irritable
Change in Appetite
0 I have no change in my appetite
1a my appetite is less than usual
1b my appetite is greater than usual
2a my appetite has increased
2b my appetite has decreased
3a i have no appetite
3b I am always hungry
Considering all parts of my life - physical, emotional, spiritual, and social over the past 2 weeks the quality of my life has been
very bad 0 1 2 3 4 5 6 7 8 9 10 excellent
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