| |
Today as compared to 10 years ago: |
If yes |
| 1. |
Do you often feel tired? |
+1 |
| 2. |
Do you feel happy most of the time? |
-2 |
| 3. |
Do you often go through mood swings? |
+2 |
| 4. |
Do you anger easily? |
+2 |
| 5. |
Are you depressed often? |
+1 |
| 6. |
Do you often feel anxious or stressed out? |
+1 |
| 7. |
Do you feel you work too hard? |
+2 |
| 8. |
Do you look forward to retirement? |
+2 |
| 9. |
Do you keep in touch with friends? |
-1 |
| 10. |
Do you maintain an interest in sex? |
-1 |
| 11. |
Is your sex life declining? |
+2 |
| 12. |
Do you have trouble falling or staying asleep? |
+2 |
| 13. |
Do you feel well rested after sleep? |
-1 |
| 14. |
Do you find yourself forgetting things? |
+2 |
| 15. |
Do you find it harder to think clearly? |
+2 |
| 16. |
Do you use memory aid (e.g., lists)? |
+2 |
| 17. |
Do you have problems concentrating? |
+2 |
| 18. |
Are you in poor physical shape? |
+2 |
| 19. |
Are you more than 20 percent above your ideal weight? |
+2 |
|