In the past month, have you had trouble with attention or concentration? | | | | | | |
On the job, did people notice that your work wasn't up to standards? | | | | | | |
On the job, were you slow or unable to get things done on time? | | | | | | |
On the job, did you need help from others to get your work done? | | | | | | |
During your recent employment, were there days when you just didn't show up for work? | | | | | | |
Were you reprimanded, threatened with demotion or removed from responsibilities during your recent employment? | | | | | | |