1 / 17
1. I quickly feel physically exhausted
2 / 17
2. I suffer from shortness of breath, especially when exercising or lying down
3 / 17
3. Are you already currently being treated by a cardiologist?
4 / 17
4. I am worrying about my health all the time
5 / 17
5. I feel dependent on other people
6 / 17
6. I feel sad
7 / 17
7. It's hard for me to focus or remember things
8 / 17
8. I have been hospitalized more than twice in the past 12 months
9 / 17
9. I have fewer and fewer hobbies
10 / 17
10. I have fewer and fewer social activities with friends/family
11 / 17
11. I don't feel like eating my favorite meals anymore
12 / 17
12. I have little energy
13 / 17
13. I don't sleep well at night
14 / 17
14. I often have to go to the toilet at night
15 / 17
15. I suffer from swollen feet, ankles, stomach, or neck
16 / 17
16. I have a tickly cough, which gets worse when I lie down
17 / 17
17. I often feel dizzy or light-headed
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