0
1
2
3
4
5
1.
I suffer regularly with headaches
2.
I often feel lonely
3.
I sometimes drink alcohol to excess
4.
I have difficulty getting to sleep
5.
I feel under pressure to get things finished
6.
I can’t find the time to have fun and enjoy myself
7.
I find it difficult to enjoy the simple pleasures of life
8.
I am dissatisfied with my work
9.
I often feel sad for no apparent reason
10.
I am forgetful
11.
I am irritable and snap at people
12.
I avoid people at work and in my private life
13.
I can't concentrate on my work as I once could
14.
I am easily bored with my work
15.
I work hard but accomplish little
16.
Social activities are draining
17.
Sex is not worth the effort
18.
I watch TV most of the time when not working
19.
I worry about work during my off hours
20.
My life seems pointless
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Click the number that seems most appropriate :
-
0 = Not at all, 1 = Just a little, 2 = Somewhat,
3 = Moderately, 4 = Quite a lot, 5 = Very much