{{ extends 'global/Page.html' }} {{ block title }}Title{{ endblock }} {{ block content }}

Please read each statement and mark the number that best describes how frequently the statement aplies to you. Try to answer each question as honestly and quickly as possible.

Scoring key: 1 = Rarely/Never  2 = Occasionally  3 = Often  4 = Almost Always/Always

{{ formfields }}


{{ next_button }} {{ endblock }}