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ITEM 2710 / 2702 / ATAPS
OUTCOME TOOL (K10)
Today’s Date: //
In the past four weeks how often have you felt this way? Circle the correct answer.
None of A little of Some of Most of All of the Score
the time the time the time the time time
About how often did you feel tired for no 1 2 3 4 5
good reason?
About how often did you feel nervous? 1 2 3 4 5
About how often did you feel so nervous 1 2 3 4 5
that nothing could calm you down?
About how often did you feel hopeless? 1 2 3 4 5
About how often did you feel restless or 1 2 3 4 5
fidgety?
About how often did you feel so restless 1 2 3 4 5
you could not sit still?
About how often did you feel depressed? 1 2 3 4 5
About how often did you feel that 1 2 3 4 5
everything was an effort?
About how often did you feel so sad that 1 2 3 4 5
nothing could cheer you up?
About how often did you feel worthless? 1 2 3 4 5
K10 Score
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