Instruction: Please read each statement and indicate how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement. 1.I found it hard to wind down Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS 2.I tended to over-react to situations Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS 3.I felt that I was using a lot of nervous energy Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS 4.I found myself getting agitated Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS 5.I found it difficult to relax Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS 6.I was intolerant of anything that kept me from getting on with what I was doing Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS 7.I felt that I was rather touchy Did not apply to me at all – NEVER Applied to me to some degree, or some of the time – SOMETIMES Applied to me to a considerable degree, or a good part of time – OFTEN Applied to me very much, or most of the time – ALMOST ALWAYS
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