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United Psychological & Educational Group

Survey: Symptoms Checklist

Instructions: Below is a list of problems and complaints that people sometimes have. Please read each one carefully. After you have done so, please circle one of the numbers to the right that best describes how much discomfort that problem has caused you during the past week, including today. Select only one answer for each problem and do not skip any items. 

    How much were you distressed by:

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