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*Please note, all fields are required.

1. Over the past two weeks, how often have you felt sad, hopeless, or down?(Required)
2. Do you often worry excessively about various aspects of your life, such as school, relationships, or the future?(Required)
3. Have you experienced changes in your sleep patterns, such as trouble falling asleep, staying asleep, or sleeping too much?(Required)
4. Do you frequently experience physical symptoms of anxiety, such as racing heart, sweating, trembling, or shortness of breath?(Required)
5. Have you noticed changes in your appetite or eating habits, such as overeating or loss of appetite?(Required)
6. Do you often feel irritable, restless, or on edge for no apparent reason?(Required)
7. Have you experienced a loss of interest or pleasure in activities you once enjoyed?(Required)
8. Do you frequently have difficulty concentrating, making decisions, or remembering things?(Required)