Thank you for your participation in this program. In order to improve our program to help other members, we’d like to ask you a few quick questions. This should only take a minute.
Questions marked with an asterisk (*) are required
We would like to know how you are feeling. Please check the answer that comes closest to how you have felt IN THE PAST 2 WEEKS, not just how you feel today.
Over the past 2 weeks, how often have you been bothered by any of the following problems?
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