Questionnaire Stats

Total number of questionnaires completed:

  • No Symptoms: |

  • Range (1-3): |

  • Range (+4): |

Symptom Scores (across)
Bother Scores (down)

Symptom Scores

0

1-3

4-6

7-9

10-12

0

-

-

-

-

-

1-3

-

-

-

-

-

4-6

-

-

-

-

-

7-9

-

-

-

-

-

10-12

-

-

-

-

-



Previous Self Assessment Stats

Total number of questionnaires completed:

  • No Symptoms: |

  • Mild: |

  • Moderate: |

  • Significant: |

  • Very Significant: |

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