Please answer each of the 21 statements below by choosing the option (A, B,
C or D) that best describes how you have been feeling recently,
including today. There are no right or wrong answers — please answer as honestly as you can.
This should take about 4–5 minutes.
Instructions: For each item, choose the one statement that best describes how you have been feeling.
Tap anywhere on an option to select it.
Please complete your name and all 21 items before submitting.
✓ Thank you — your responses have been recorded
You can hand the device back to your psychologist now.