Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.

Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.