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1、WORD格式-精品资料分享1.64Ingeneral,wouldyousayyourhealthis:Excellent...............................................1VeryGood.............................................2Good......................................................3Fair.............................................
2、............4Poor.......................................................52.65DoesyourhealthnowlimityouinModerateactivities,suchasmovingatable,pushingavacuumcleaner,bowling,orplayinggolf?Ifso,howmuch?Yes,limitedalot....................................1Yes,limitedalittle.
3、................................2No,notlimitedatall..............................33.66DoesyourhealthnowlimityouinClimbingseveralflightsofstairs?Ifso,howmuch?Yes,limitedalot....................................1Yes,limitedalittle.................................2No,notlim
4、itedatall..............................34.67DuringthePASTFOURWEEKS,howmuchofthetimehaveyouaccomplishedlessthanyouwouldlikewithyourworkorotherregulardailyactivitiesasaresultofyourphysicalhealthAllofthetime..................................1所有时间Mostofthetime..............
5、........................2大多数时间Someofthetime.....................................3有时Alittleofthetime..................................4很少Noneofthetime.....................................5几乎没有5.68DuringthePASTFOURWEEKS,howmuchofthetimehaveyounotdoneworkorotheractivitiesa
6、scarefullyasusualasaresultofyourphysicalhealthAllofthetime..................................1-WORD格式-精品资料分享Mostofthetime......................................2Someofthetime.....................................3Alittleofthetime..................................4Noneofthe
7、time.....................................51.69DuringthePASTFOURWEEKS,howmuchofthetimehaveyouaccomplishedlessthanyouwouldlikewithyourworkorotherregulardailyactivitiesasaresultofanyemotionalproblems(suchasfeelingdepressedoranxious)?Allofthetime............................
8、......1Mostofthetime......................................2Someofthetime.....................................3