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how often do you have anxiety or doubt?
 
i dont
 
once a week
 
once a month
 
often
 
 
 
have you ever thought about speaking to someone?
 
yes weekly
 
no, not really
 
i dont believe in speaking to someone
 
 
 
how often would you want to speak with someone?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
how often throughout the day do you have doubt? 
 
none
 
few
 
many
 
never stop
 
 
 
how often do you cry ?
 
Weekly
 
Monthly
 
not ever
 
 
 
do you fear getting up each day?
 
 
Other
 
 
 
 
do you have a career? 
 
 
Other
 
 
 
 
how old are you?
 
10-15
 
16-21
 
22-30
 
31-45
 
46-55
 
56-70
 
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