Final Section - Questionnaire

The following questionnaire will take between 10 and 15 minutes to complete.

You MUST complete the questionnaire in one sitting to submit.

You must answer each question providing a rating of how you are feeling NOW. 

0 - No symptoms whatsoever

1,2 - little or infrequent symptoms

3,4,5 - Just noticeable

6,7 - Moderate

8,9 - Severe

10 - Very severe, unbearable