| Variables |
Question Number |
Score Range |
| Symptoms and feelings |
Questions 1 and 2 |
Score maximum 6 |
| Daily activities |
Questions 3 and 4 |
Score maximum 6 |
| Leisure |
Questions 5 and 6 |
Score maximum 6 |
| Work and School |
Question 7 |
Score maximum 3 |
| Personal relationships |
Questions 8 and 9 |
Score maximum 6 |
| Treatment |
Question 10 |
Score maximum 3 |
|
