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For Family
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Other Programs
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Reply to these 10 questions as you can relate to them as of the LAST ONE MONTH
Name
*
Email
*
You had too many things to do
*
Almost never
Sometimes
Often
Almost always
You felt lonely or isolated
*
Almost never
Sometimes
Often
Almost always
You had too many decisions to make
*
Almost never
Sometimes
Often
Almost always
You were undergoing pressure from other people
*
Almost never
Sometimes
Often
Almost always
You felt discouraged
*
Almost never
Sometimes
Often
Almost always
You felt you were doing things because you had to, not because you wanted to
*
Almost never
Sometimes
Often
Almost always
You felt criticized or judged
*
Almost never
Sometimes
Often
Almost always
You felt physically tired
*
Almost never
Sometimes
Often
Almost always
You felt mentally exhausted
*
Almost never
Sometimes
Often
Almost always
You felt under pressure from deadlines
*
Almost never
Sometimes
Often
Almost always
Submit
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