S9

Physical Abnormality
During the past 4 weeks, how much have you been bothered by feeling your heart pound or race?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all

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Scoring

□ Bothered a lot = 2
□ Bother a little = 1
□ Not bothered at all = 0
See General Symptoms for total scoring

Background

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