CRUFAD

Please answer all the questions and then click the submit button at the bottom of the page

Question 1	In the past 4 weeks, about how often did you feel tired out for no good reason?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 2	In the past 4 weeks, about how often did you feel nervous?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 3	In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 4	In the past 4 weeks, about how often did you feel hopeless?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 5	In the past 4 weeks, about how often did you feel restless or fidgety?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 6	In the past 4 weeks, about how often did you feel so restless you could not sit still?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 7	In the past 4 weeks, about how often did you feel depressed?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 8	In the past 4 weeks, about how often did you feel that everything was an effort?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 9	In the past 4 weeks, about how often did you feel so sad that nothing could cheer you up?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...

Question 10	In the past 4 weeks, about how often did you feel worthless?		None of the time .......
			A little of the time ....
			Some of the time ...
			Most of the time...
			All of the time ...