A Brief Measure of Day-to-Day Feelings
We will be using this survey to capture data for research on the specific effects of the programs overall and weekly outcomes. Other than email address, veteran status and a yes/no disability question specific identifying personal data will not be captured for these surveys.

INSTRUCTIONS:
Below, you will find 10 questions about your feelings during the past week. Please answer every question,
even though some might sound similar. Each question names a common feeling, and has five answer
boxes. You are to check the box that best describes how much you felt that particular feeling in the last
week. Please be as honest as possible. There are no right or wrong answers, and your answers will be kept confidential.
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Email *
Are you a Veteran?
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Are You a Disabled Veteran.
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Today's Date
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1. In the past week, have you felt inadequate? *
Required
2. In the past week, have you felt swamped by your responsibilities? *
Required
3. In the past week, have you felt that the odds were against you? *
Required
4. In the past week, have you felt that there wasn't enough time to get to everything? *
Required
5. In the past week, have you felt like nothing was going right? *
Required
6. In the past week, have you felt like you were rushed? *
Required
7. In the past week, have you felt like there was no escape? *
Required
8. In the past week, have you felt like things kept piling up? *
Required
9. In the past week, have you felt like just giving up? *
Required
10. In the past week, have you felt like you were carrying a heavy load? *
Required
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