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Som \nPG L AT T \nINSTRUCTIONS \nThis questionnaire asks about your \nsymptoms as well as your ability to \nperform certain activities. \n, \nA \nB \n24 \n34 \nJf \nirs \ni \n4 \nPlease answer every question, based \non your condition in the last week, \nby circling the appropriate number. \nIf you did not have the opportunity \nto perform an activity in the past \nweek, please make your best estimate \nof which response would be the most - \naccurate. \nIt doesn't matter which hand or arm \nyou use to perform the-activity; please \nanswer based on your'ability regardless \nof how you perform the task.. = \u00a2 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