| 1. You remember the last time you were truly happy? |
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| 2. How well do you sleep? |
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| 3. How does your sadness feel? |
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| 4. What (do you think) can cheer you up? |
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| 5. Choose one item YOU LIKE! |
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| 6. Choose one item YOU HATE! |
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| 7. What caused your sadness (choose closest one)? |
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