• Over the last 2 weeks, how often have you been bothered by any of the following problems?

  • Over the last 2 weeks, how often have you been bothered by any of the following problems?

  • Over the last 2 weeks, how often have you been bothered by any of the following problems?

  • Over the last 2 weeks, how often have you been bothered by any of the following problems?

  • Should be Empty: