Please read each statement and select a number 0, 1, 2, or 3 which indicates how much the statement applied to you over the past 2 weeks. There are no right or wrong answers. Do not spend too much time on any statement.
The rating scale is as follows:
0 - Did not apply to me at all
1 - Applied to me to some degree, or some of the time
2 - Applied to me to a considerable degree, or a good part of time
3 - Applied to me very much, or most of the time