ࡱ> 5@ sbjbj22 4XX WWWWvXpFZH_H_H_H_'`9` E`ooooooo$qRsfpiM`#`'`M`M`pH_H_pccccccM`"H_H_occM`occccscscH_:Z `;VWo`"scc p0psc:t`:tsc:tschM`M`ccM`M`M`M`M`pp264#Yc 64Depression questionnaire Please indicate if any of the following symptoms or characteristics apply to you. Score 3 for those that always or frequently apply Score 2 for those that often apply Score 1 - for those that occasionally apply Nausea or constipation FORMTEXT  Ideas of grandeur FORMTEXT  Anxiety, extreme fears or paranoia FORMTEXT  White spots on fingernails FORMTEXT  Feeling  unreal  FORMTEXT  Phobias FORMTEXT  Pale skin which burns easily FORMTEXT  Hearing your own thoughts FORMTEXT  Poor concentration or confusion FORMTEXT  Frequent colds and infections FORMTEXT  Anxiety and inner tension FORMTEXT  Poor memory FORMTEXT  Stretch marks FORMTEXT  Inability to think straight FORMTEXT  Angry or aggressive feelings FORMTEXT  Irregular menstruation FORMTEXT  Learning difficulties or dyslexia FORMTEXT  Hyperactivity FORMTEXT  Impotency FORMTEXT  Suspicious of people FORMTEXT  Emotional ups and downs FORMTEXT  Crowded upper front teeth FORMTEXT  Good pain tolerance FORMTEXT  Poor tolerance of alcohol or drugs FORMTEXT  Seeing or hearing things abnormally FORMTEXT  Headaches or migraines FORMTEXT  Sneezing in sunlight FORMTEXT  Poor dream recall FORMTEXT  Having delusions or illusions FORMTEXT  Crying, salivating or feeling nauseous easily  FORMTEXT  Dry mouth FORMTEXT  Loose bowels or skin problems at onset of illness FORMTEXT  Easy orgasm with sex FORMTEXT  Poor memory or forgetfulness FORMTEXT  Difficult orgasm with sex FORMTEXT  Abnormal fears, complm      * , @ B D F H J tbPtt>Pt#jjh{Wh{WCJUaJ"jh'.CJUaJmHnHu#jh{Wh{WCJUaJh{Wh{WCJaJjh{Wh{WCJUaJ hT[h{WCJOJQJ^JaJ hD? h+CJOJQJ^JaJ hD? h+CJ OJQJ^JaJ h+CJOJQJ^JaJh+5CJOJQJ^JaJh1 /5CJOJQJ^JaJ#h+h+5CJOJQJ^JaJlm  * J $$Ifa$gd{W $$Ifa$gd$m9gd+$a$gd+s      8 : N P R T V X Z 峢xfxTx#j*h{Wh{WCJUaJ#jh{Wh{WCJUaJ hT[h{WCJOJQJ^JaJhdCJOJQJ^JaJh{WhdCJaJ hT[hdCJOJQJ^JaJh{WCJOJQJ^JaJ"jh'.CJUaJmHnHu#jh{Wh{WCJUaJh{Wh{WCJaJjh{Wh{WCJUaJ ^RRRRRR $$Ifa$gd$m9kd>$$Ifl4ֈ < x&@(` H< H` h t644 la  8 X Z \ \PDPDPP $$Ifa$gd{W $$Ifa$gd$m9kd$$Ifl4ֈ < x&@(` H< H  h t644 laZ \ ^ ` b d f v x & ( < > @ B D F H J L N P R T ǣǣǣm#j h{Wh{WCJUaJ#jh{Wh{WCJUaJ#jh{Wh{WCJUaJ"jh'.CJUaJmHnHu#jh{Wh{WCJUaJjh{Wh{WCJUaJ hT[h{WCJOJQJ^JaJh{WCJOJQJ^JaJh{Wh{WCJaJ*\ ^ ` b d f v _SSSSSG $$Ifa$gd{W $$Ifa$gd$m9kd$$Iflֈ < x&@(` H< H h t644 la & F H J ]QEQEQQ $$Ifa$gd{W $$Ifa$gd$m9kdX$$Iflֈ < x&@(` H< H h t644 laJ L N P R T _SSSSSG $$Ifa$gd{W $$Ifa$gd$m9kdn$$Iflֈ < x&@(` H< H h t644 la     F H \ ^ ` b d f h j l n p r t ŴӢӴӐӴŴӴӴ~Ŵl#jbh{Wh{WCJUaJ#j h{Wh{WCJUaJ#j h{Wh{WCJUaJ#j| h{Wh{WCJUaJ hT[h{WCJOJQJ^JaJh{WCJOJQJ^JaJh{Wh{WCJaJ"jh'.CJUaJmHnHujh{Wh{WCJUaJ*  F f h j \PDPDPP $$Ifa$gd{W $$Ifa$gd$m9kd2 $$Ifl4ֈ < x&@(` H< H` h t644 laj l n p r t \PPPPPD $$Ifa$gd{W $$Ifa$gd$m9kdP $$Ifl4ֈ < x&@(` H< H  h t644 la "BDF]QEQEQQ $$Ifa$gd{W $$Ifa$gd$m9kd $$Iflֈ < x&@(` H< H h t644 la "$8:<>@BDFHJLNP>@TVXZ\Աԣԑԣm#jh{Wh{WCJUaJ#j8h{Wh{WCJUaJ#jh{Wh{WCJUaJh{WCJOJQJ^JaJ#jh{Wh{WCJUaJ hT[h{WCJOJQJ^JaJh{Wh{WCJaJjh{Wh{WCJUaJ"jh'.CJUaJmHnHu*FHJLNP_SSSSSG $$Ifa$gd{W $$Ifa$gd$m9kd6$$Iflֈ < x&@(` H< H h t644 la>^`b_SGSGSS $$Ifa$gd{W $$Ifa$gd$m9kd$$Iflֈ < x&@(` H< H 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< x&@( ` H < H h t644 lajlnp  JL`bdfձygձUձ#j$h{Wh{WCJUaJ#j$h{Wh{WCJUaJhQi-CJOJQJ^JaJh{WhQi-CJaJ hT[hQi-CJOJQJ^JaJh{WCJOJQJ^JaJ"jh'.CJUaJmHnHu#j"h{Wh{WCJUaJjh{Wh{WCJUaJ hT[h{WCJOJQJ^JaJh{Wh{WCJaJ!_SSSSSS $$Ifa$gd$m9kdl"$$Iflֈ < x&@(` H< H h t644 laJj]QEQEQQ $$Ifa$gd{W $$Ifa$gd$m9kdr#$$Iflֈ < x&@(` H< H h t644 lafhj唃xxxjYNYNYNh{WhQi-CJaJ hT[hQi-CJOJQJ^JaJh5CJOJQJ^JaJh{Wh5CJaJ hT[h5CJOJQJ^JaJh{WCJOJQJ^JaJ"jh'.CJUaJmHnHu#j^%h{Wh{WCJUaJh{WCJOJQJ^JaJ hT[h{WCJOJQJ^JaJh{Wh{WCJaJjh{Wh{WCJUaJRFFFFFF $$Ifa$gd$m9kd%$$Ifl4ֈ < x&@(` H< H` h t644 la $$Ifa$gd{W^RRRRRR $$Ifa$gd$m9kd*'$$Ifl4ֈ < x&@(` H< H  h t644 la<z_SGSSGSS $$Ifa$gd{W $$Ifa$gd$m9kdF($$Iflֈ < x&@(` H< H h t644 la2468:<VXlnǵңǑңǃqңǃ_#j$-h{Wh{WCJUaJ#j+h{Wh{WCJUaJh{WCJOJQJ^JaJ#j)h{Wh{WCJUaJ"jh'.CJUaJmHnHu#jL)h{Wh{WCJUaJh{Wh{WCJaJjh{Wh{WCJUaJ hT[h{WCJOJQJ^JaJhQi-CJOJQJ^JaJ%^RRRRRF $$Ifa$gd{W $$Ifa$gd$m9kd *$$Ifl4ֈ < x&@(` H`< H h t644 laVvxz|~^RFRRRR $$Ifa$gd{W $$Ifa$gd$m9kd+$$Ifl4ֈ < x&@(` H < H h t644 lanprtvxz|~f$f&f:ff@fBfDfFfhfjflfffffffffffӴӢ ӎӴ€n#j1h{Wh{WCJUaJh{WCJOJQJ^JaJ#j6/h{Wh{WCJUaJU#j.h{Wh{WCJUaJh{WCJOJQJ^JaJ hT[h{WCJOJQJ^JaJh{Wh{WCJaJ"jh'.CJUaJmHnHujh{Wh{WCJUaJ+~f$fDf_SSSGSSG $$Ifa$gd{W $$Ifa$gd$m9kd-$$Iflֈ < x&@(` H< H h t644 laulsions, rituals FORMTEXT  Mental exhaustion FORMTEXT  Tendency to overweight FORMTEXT  Difficulty concentrating FORMTEXT  Light sleeper FORMTEXT  Frequent mood swings FORMTEXT  Palpitations of blackouts FORMTEXT  Fast metabolism FORMTEXT  Forgetfulness or confusion FORMTEXT  Fainting or dizziness or trembling FORMTEXT  Depression or suicidal thoughts FORMTEXT  Tendency to depression FORMTEXT  Producing a lot of body heat FORMTEXT  Excessive or night sweats FORMTEXT  Anxiety or irritability FORMTEXT  Little body hair and lean build FORMTEXT  Excessive thirst FORMTEXT  Feeling weak FORMTEXT  Large ears or long fingers and toes FORMTEXT  Chronic fatigue FORMTEXT  Aggressive outbursts or crying spells FORMTEXT  Dry or rough skin FORMTEXT  Good tolerance of alcohol FORMTEXT  Child history of colic, eczema, asthma, rashes or ear infections FORMTEXT  Dry hair, loss of hair or dandruff FORMTEXT  Inner tension or  driven feeling  FORMTEXT  PMS or breast pain FORMTEXT  Frequent colds or blocked nose FORMTEXT  Shy or over-sensitive as a child FORMTEXT  Eczema, asthma or joint aches FORMTEXT  Difficulty sleeping FORMTEXT  Seasonal allergies, eg hayfever FORMTEXT  Dyslexia or learning difficulties FORMTEXT  Facial puffiness, circles or discolouration around eyes FORMTEXT  Fatigue, moods, headaches, red ears or blocked nose after certain foods FORMTEXT  Hyperactivity FORMTEXT   DfFfjffffff^RFRRRR $$Ifa$gd{W $$Ifa$gd$m9kd/$$Ifl4ֈ < x&@(` H< H` h t644 laffffffff^RRRFRR $$Ifa$gd{W $$Ifa$gd$m9kdl1$$Ifl4ֈ < x&@(` H< H  h t644 lafffffffffffffffg g4g6g8g:gg@gBg^g`gtgvgxgzg|g~gggggggggggֵǣ֑ǣǣmǣ#j6h{Wh{WCJUaJ#j4h{Wh{WCJUaJ#jv4h{Wh{WCJUaJ"jh'.CJUaJmHnHu#j2h{Wh{WCJUaJjh{Wh{WCJUaJh{Wh{WCJaJ hT[h{WCJOJQJ^JaJh{WCJOJQJ^JaJ*ffg>g@gBg^g~g_SGSSSG 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