THANK YOU for allowing me to collaborate with you on your health. I’m honored to serve you. Please take a few minutes to answer the following questions. This information will help me understand how you’ve been doing lately. It will also give me a sense for what’s been going on in your life. —David A. Frenz, M.D.
Looking back over the last week, including today, help me understand how you have been feeling by rating how well you have been doing in the following areas of your life, where marks to the left represent low levels and marks to the right indicate high levels. (Please slide the buttons left or right with your finger or mouse)
How troubled or bothered have you been in the past 30 days by alcohol problems?
Over the last 2 weeks, how often have you been bothered by any of the following problems? (Please pick one letter for each row)
Over the last 2 weeks, how often did you feel this way or have these things happen to you? (Please pick one letter for each row)
Over the last 2 weeks, how much did you feel this way or have these things happen to you? (Please pick one letter for each row)
Over the last 2 weeks, did any of the following things happen to you? (Please pick one option for each row)
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