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Over the Last two weeks, how often have you been bothered by the following problems?
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Feeling Nervous, anxious, or on edge
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Not being able to stop or control worrying
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Worrying too much about different things
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Trouble relaxing
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Being to restless that it is hard to sit still
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Becoming easily annoyed or irritable
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Feeling afraid, as if something awful might happen
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How difficult have they made it for you to work take care of things at home or get along with other people
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0-4: Minimal Anxiety
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5-9: Mild anxiety
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10-14: Moderate anxiety
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15-21: Severe anxiety
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