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Mood Chart 1

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Mood Chart 1
Mood Chart 1
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Severe
Significant impairment
Not able to work
Moderate Significant impairment
Able to work
Mild Without significant
impairment
NORMAL
Mild Without significant
impairment
Moderate Significant impairment
Able to work
Severe Significant impairment
Not able to work
Anxiety 0=None
1=Mild
Irritability
2=Moderate
3=Severe
Weight on day 28
Hours slept
DAYS
ELEVATEDDEPRESSED NORMAL
Medication (name/mg)
MonthName Year
Mood Chart 1
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