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In the past two weeks, have you often felt down, depressed, or hopeless?
Yes
No
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Have you lost interest or pleasure in doing things you used to enjoy?
Yes
No
Have you felt tired or lacked energy most days?
Yes
No
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Have you found it hard to concentrate or make decisions?
Yes
No
Have you often felt guilty or worthless?
Yes
No
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Have you experienced changes in appetite, such as eating too little or too much?
Yes
No
Have you had thoughts about hurting yourself?
Yes
No
Have you had trouble sleeping, such as insomnia or sleeping too much?
Yes
No
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