S1

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General Symptoms

During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all


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Branching

Scoring

□ Nearly every day = 3
□ More than half the days = 2
□ Several days = 1
□ Not at all =0
See Depression PHQ-9 for total scoring

Background

Symptom Assessment
Well-Being Assessment (WBA)
CDC Health Risk Assessment (HRA)