Please read each statement and choose a number 0, 1, 2, 3 or 4 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.
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The rating scale is as follows:
0 - Did not apply to me at all - NEVER
1 - Applied to me to some degree, or some of the time - SOMETIMES
2 - Applied to me to a considerable degree, or a good part of time - OFTEN
3 - Applied to me very much, or most of the time - ALMOST ALWAYS
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