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Get Chestnut Health Systems Gain-short Screener (gain-ss) 2008-2025

C. (First name) (M.I.) (Last name) What is today s date? (MM/DD/YYYY) / / Past month 2 to 12 months ago 1+ years ago Never The following questions are about common psychological, behavioral, and personal problems. These problems are considered significant when you have them for two or more weeks, when they keep coming back, when they keep you from meeting your responsibilities, or when they make you feel like you can t go on. 3 2 1 0 2.

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