3
In the last month, I have noticed eye problems such as blurred vision and/or pain in one or both eyes...
4
In the last month, I have had difficulty remembering things like people’s names, when to take medication, or what I did the day before...
5
In the last month, I have had difficulty controlling my bladder or bowel movements...
6
In the last month, my pain interfered with my day-to-day activities and general happiness...
7
In the last month, I have felt worried, anxious, or flustered...
8
In the last month, my walking ability was slightly slower than usual...
9
In the last month, my fatigue interfered with my ability to bathe and dress myself...
