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The Zen Dylan Koh Fund
Who We Are
Our Solution
Take Action
Experience
Join Us
Get Connected
Book an Event
Share Your Story
Facts
Get Help
Talk To Someone
The Zen Dylan Koh Fund
Stories
Store
GIVE
Fundraise
Hope . Worth . Destiny
Name
First Name
Last Name
Discord Username
If you came here from SAFEHOUSE
In the past 4 weeks
About how often did you feel tired out for no good reason?
*
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel nervous?
*
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel so nervous that nothing could calm you down?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel hopeless?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel restless or fidgety?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel so restless you could not sit still?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel depressed?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel that everything was an effort?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel so sad that nothing could cheer you up?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
About how often did you feel worthless?
1. None of the time
2. A little of the time
3. Some of the time
4. Most of the time
5. All of the time
Thank you!
