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Brief Symptom Rating Scale (BSRS-5)
Instructions:
The following statements describe feelings or experiences that many people may encounter in daily life.
Please read each item carefully and indicate how much you have been bothered by that problem during the past week, including today.
Use the following scale to rate your response:
0 = Not at all
1 = A little bit
2 = Moderately
3 = Quite a bit
4 = Extremely