Click Here to Fill Out an Online Self Assessment Tool
Rarely Often
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Are you having trouble concentrating or paying attention? 1 2 3 4 5
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Are you neglecting important work or family responsibilities? 1 2 3 4 5
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Are you avoiding tasks, meetings or other political commitments? 1 2 3 4 5
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Are you overwhelmed by demands on your time and energy? 1 2 3 4 5
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Do you feel hopeless, worry your political goals are unattainable? 1 2 3 4 5
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Do you feel your group isn't doing enough or doing the wrong things? 1 2 3 4 5
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Do you have trouble working with other group members? 1 2 3 4 5
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Are you having trouble sleeping? 1 2 3 4 5
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Do you have headaches, backaches, or other physical complaints with no clear medical cause? 1 2 3 4 5
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Are you moody, anxious arguing with family, friends or coworkers ? 1 2 3 4 5
