AG20a

(RB, PG 9)

Using a 0 to 10 scale on page 9 of your booklet, where 0 means no interference and 10 means very severe interference, think about the month or longer in the past 12 months when your fear [(or avoidance)] was most severe. What number describes how much your fear [(or avoidance)] interfered with each of the following activities during that month or longer?

Your home management, like cleaning, shopping, and taking care of the (house/apartment)?

(IF NEC: How much did the fear [(or avoidance)] interfere with your home management, like cleaning, shopping, and taking care of the (house/apartment) during that time?)
(IF NEC: You can use any number between 0 and 10 to answer.)

IF 'DOES NOT APPLY', CODE 97