For each of the following, rate the degree to which having this symptom interferes with your quality of life. Marking 5 indicates that this symptom is either present often or that it is severe when present. Marking 0 indicates that you never experience this symptom.

Your total will be available when upon clicking submit, but your score will not be saved, so please take note of your score to use as part of measuring your success.

For each of the following, rate the degree to which having this symptom interferes with your quality of life. Marking 5 indicates that this symptom is either present often or that it is severe when present. Marking 0 indicates that you never experience this symptom.

Your total will be available when upon clicking submit, but your score will not be saved, so please take note of your score to use as part of measuring your success.