1. In the last month, how often have you been upset because of something that happened unexpectedly?
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2. In the last month, how often have you felt that you were unable to control the important things at work?
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3. In the last month, how often have you felt nervous and “stressed”?
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4. In the last month, how often have you dealt successfully with day to day problems and annoyances?
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5. In the last month, how often have you felt that you were effectively coping with important changes that were occurring in your life?
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6. In the last month, how often have you felt confident about your ability to handle your personal problems?
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7. In the last month, how often have you felt that things were going your way?
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8. In the last month, how often have you found that you could not cope with all the things that you had to do?
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9. In the last month, how often have you been able to control irritations in your work life?
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10. In the last month, how often have you felt that you were on top of things?
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11. In the last month, how often have you been angered because of things that happened that were outside of your control?
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12. In the last month, how often have you found yourself thinking about things that you have to accomplish?
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13. In the last month, how often have you been able to control the way you spend your time?
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14. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?
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