How are you feeling? 

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* 1. Which of the following describes you best? 

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* 2. How would you rate your health in general?

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* 3. Can you do everything you want to do physically?

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* 4. In the last three months, how many times have you visited your GP, in person or via telephone appointment?

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* 5. In the last three months, how many times have you used another health service? I.e. nurse visit, hospital appointment, etc

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* 6. How many different types of medication do you take on a daily basis?

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* 7. How many days do you usually do some exercise on a normal week?

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* 8. Do you usually sleep well?

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* 9. How many times in the last two weeks have you felt angry?

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* 10. The Warwick-Edinburgh Mental Well-being Scale. The next questions are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last two weeks.
How often have you been feeling optimistic about the future?

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* 11. How often have you been feeling useful?

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* 12. How often have you been feeling relaxed?

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* 13. How often have you been feeling interested in other people?

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* 14. How often have you had energy to spare?

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* 15. How often have you been dealing with problems well?

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* 16. How often have you been thinking clearly?

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* 17. How often have you been feeling good about yourself?

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* 18. How often have you been feeling close to other people?

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* 19. How often have you been feeling confident?

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* 20. How often have you been feeling able to make up your own mind about things?

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* 21. How often have you been feeling loved?

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* 22. How often have you been feeling interested in new things?

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* 23. How often have you been feeling cheerful?

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* 24. Please tick which of the following are true for you? Please tick all that apply.