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In the past two weeks, have you often felt down, depressed, or hopeless?
Yes
No
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Have you lost interest or pleasure in doing things you used to enjoy?
Yes
No
Have you felt tired or lacked energy most days?
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No
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Have you found it hard to concentrate or make decisions?
Yes
No
Have you often felt guilty or worthless?
Yes
No
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Have you experienced changes in appetite, such as eating too little or too much?
Yes
No
Have you had thoughts about hurting yourself?
Yes
No
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Have you had trouble sleeping, such as insomnia or sleeping too much?
Yes
No
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