1. I’ve felt edgy or nervous *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

2. I haven’t felt like talking to anyone *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

3. I’ve felt able to cope when things go wrong *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

4. I’ve thought of hurting myself *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

5. There’s been someone I felt able to ask for help *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

6. My thoughts and feelings distressed me *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

7. My problems have felt too much for me *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

8. It’s been hard to go to sleep or stay asleep *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

9. I’ve felt unhappy *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time

10. I’ve done all the things I wanted to *

Not at all

Only occasionally

Sometimes

Often

Most or all of the time