Please read each statement and select a a response which indicates how much the statement applied to you over the past 1 week. There are no right or wrong answers. Please do not spend too much time thinking about each statement. The rating scale is as follows: 0 = Did not apply to me at all 1 = Applied to me to some degree, or some of the time 2 = Applied to me to a considerable degree, or a good part of time 3 = Applied to me very much, or most of the time