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How are you feeling?

Over the past two weeks, how often have you felt one or more of the following symptoms?
• Feeling sad or down or having anxiety.
• Confused thinking, stressed or reduced ability to concentrate.
• Excessive fears or worries, or extreme feelings of guilt.
• Extreme mood changes of highs and lows.
• Withdrawal from friends and activities or loneliness.
• Significant tiredness, low energy or problems sleeping.

Symptoms

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Tell Us About Your Pet

Pet 1
Pets DOB
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Over 18

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