20 Aug, 2008

OQ-10.2

A Brief Screening Outcome Questionnaire

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Instructions

Looking over the last week, including today, help us understand how you have been feeling. Please read each item carefully and mark the circle under the category which best describes your current situation. For this questionnaire, work is defined as employment, school, housework, volunteer work, etc.

I am a happy person. *
I am satisfied with my life. *
I am satisfied with my relationships with others. *
I feel loved and wanted. *
I feel my love relationships are full and complete. *
I feel fearful. *
I feel something is wrong with my mind. *
I feel blue. *
I feel lonely. *
I feel stressed at work/school. *