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K10 Form

When answering Questions 1-10, please remember the following:

1. = None of the time

2. = A little of the time

3. = Some of the time

4. = Most of the time

5. = All of the time

Questions 11-14 are how your feelings may have affected you in the last four weeks.  You need not answer these questions if you answered 'None of the time' to all the 10 questions about your feelings.

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