This scale consists of a number of words that describe different feelings and emotions.  Read each item and then list the number from the scale below next to each word.  Indicate to what extent you have felt this way over the past week.

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* 1. Interested

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* 2. Distressed

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* 3. Excited

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* 4. Upset

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* 5. Strong

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* 6. Guilty

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* 7. Scared

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* 8. Hostile

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* 9. Enthusiastic

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* 10. Proud

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* 11. Irritable

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* 12. Alert

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* 13. Ashamed

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* 14. Inspired

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* 15. Nervous

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* 16. Determined

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* 17. Attentive

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* 18. Jittery

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* 19. Active

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* 20. Afraid

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* 21. What is your name?

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* 22. Are you male or female?

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* 23. What is your age?

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