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General Anxiety Disorder (GAD)
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New Switch
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Over the last 2 weeks, how often have you been bothered by the following problems?
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1. Feeling nervous, anxious or on edge
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2. Not being able to stop or control worrying
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3. Worrying too much about different things
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4. Trouble relaxing
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5. Being so restless that it is hard to sit still
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6. Becoming easily annoyed or irritable
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7. Feeling afraid as if something awful might happen
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Total Sum of-Not at all (0 pt)
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Total Sum of -Several Days (1pt)
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Total Sum of- More than half the days (2 pt)
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Total Sum of- Nearly every day (3 pt)
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PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
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New Switch
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Over the last 2 weeks, how often have you been bothered by
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1. Little interest or pleasure doing things
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2. Feeling down, depressed or hopeless
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3. Trouble falling or staying asleep, or sleeping too much
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4. Feeling tired and having little energy
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5. Poor appetite or over eating
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6. Feeling bad about yourself/feeling a failure/feeling you have let people down:
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7. Trouble concentrating on things, such as reading the newspaper/watching television
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8. Moving/Speaking so slow that other people could have noticed/the opposite
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9. Thoughts that you would be better off dead or of hurting yourself in someway
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Mood Disorder Questionnaire (MDQ)
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New Switch
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1. Has there ever been a period of time when you were not your usual self and (select all that apply)
• • •
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Felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?
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So irritable that you shouted at people or started fights or arguments?
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Felt much more self-confident than usual?
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Got much less sleep than usual and found you didn’t really miss it?
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Much more talkative or spoke faster than usual?
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Thoughts raced through your head or you couldn’t slow your mind down?
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So easily distracted by things around you that you had trouble concentrating or staying on track?
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... you had much more energy than usual?
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Much more active or did many more things than usual?
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Much more social or outgoing than usual‚ for example‚ you telephoned friends in the middle of the night?
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Much more interested in sex than usual?
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Did things that were unusual for you or that other people might have thought were excessive‚ foolish‚ or risky?
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Spent money got you or your family in trouble?
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2. If you checked YES to more than one of the above, have several of these ever happened during the same period of time?
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3. How much of a problem did any of these cause you — like being able to work; having family, money, or legal issues or fights?
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Adult Attention Deficit Hyperactive (ADHD)
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Adult Screening ADHD
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Indicate which answer best describes how you have felt and conducted yourself over the past 6 MONTHS.
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How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
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How often do you have difficulty getting things in order when you have to do a task that requires organization?
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How often do you have problems remembering appointments or obligations?
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When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
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How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
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How often do you feel overly active and compelled to do things, like you were driven by a motor?
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Part A Score
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How often do you make careless mistakes when you have to work on a boring or difficult project?
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How often do you have difficulty keeping your attention when you are doing boring or repetitive work?
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How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?
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How often do you misplace or have difficulty finding things at home or at work?
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How often are you distracted by activity or noise around you?
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How often do you leave your seat in meetings or other situations in which you are expected to remain seated?
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How often do you feel restless or fidgety?
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How often do you have difficulty unwinding and relaxing when you have time to yourself?
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How often do you find yourself talking too much when you are in social situations?
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How often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?
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How often do you have difficulty waiting your turn in situations when turn taking is required?
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How often do you interrupt others when they are busy?
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Part B Score
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