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Question
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Almost Never
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Sometimes
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Often
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Very Often
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| 1: Found your child appearing down in the dumps, troubled or sad? |
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| 2: Displayed a diminished interest or pleasure when performing daily activities? |
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| 3: Had a reduced appetite or ate far more than usual? |
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| 4: Experienced trouble falling or staying asleep, or slept too much in general? |
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| 5: Demonstrated a slowness in his/her movements or thought processes, or the opposite, appeared agitated, irritable and restless? |
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| 6: Complained about or appeared to be lethargic, tired or unusually listless? |
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| 7: Expressed thoughts of guilt, worthlessness or low self-esteem? |
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| 8: Displayed a diminished ability to mentally engage, make decisions or focus? |
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| 9: Spoke about morbid topics such as death or that life is not worth living? |
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