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style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-confusion\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Confusion\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-confusion\u0022 id=\u0022chk-exclude-confusion-label\u0022 title=\u0022Exclude Confusion \u0022\u003EExclude Confusion \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EConfusion (42)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-panic\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Panic\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-panic\u0022 id=\u0022chk-include-panic-label\u0022 title=\u0022Include Panic \u0022\u003EInclude Panic \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-panic\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Panic\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-panic\u0022 id=\u0022chk-exclude-panic-label\u0022 title=\u0022Exclude Panic \u0022\u003EExclude Panic \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EPanic (38)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-shame\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Shame\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-shame\u0022 id=\u0022chk-include-shame-label\u0022 title=\u0022Include Shame \u0022\u003EInclude Shame \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-shame\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Shame\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-shame\u0022 id=\u0022chk-exclude-shame-label\u0022 title=\u0022Exclude Shame \u0022\u003EExclude Shame \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EShame (37)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-avoidance\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Avoidance\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-avoidance\u0022 id=\u0022chk-include-avoidance-label\u0022 title=\u0022Include Avoidance \u0022\u003EInclude Avoidance \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-avoidance\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Avoidance\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-avoidance\u0022 id=\u0022chk-exclude-avoidance-label\u0022 title=\u0022Exclude Avoidance \u0022\u003EExclude Avoidance \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EAvoidance (35)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-disorganized-thoughts\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Disorganized thoughts\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-disorganized-thoughts\u0022 id=\u0022chk-include-disorganized-thoughts-label\u0022 title=\u0022Include Disorganized thoughts \u0022\u003EInclude Disorganized thoughts \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-disorganized-thoughts\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Disorganized thoughts\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-disorganized-thoughts\u0022 id=\u0022chk-exclude-disorganized-thoughts-label\u0022 title=\u0022Exclude Disorganized thoughts \u0022\u003EExclude Disorganized thoughts \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EDisorganized thoughts (32)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-crying\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Crying\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-crying\u0022 id=\u0022chk-include-crying-label\u0022 title=\u0022Include Crying \u0022\u003EInclude Crying \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-crying\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Crying\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-crying\u0022 id=\u0022chk-exclude-crying-label\u0022 title=\u0022Exclude Crying \u0022\u003EExclude Crying \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ECrying (30)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-resentment\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Resentment\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-resentment\u0022 id=\u0022chk-include-resentment-label\u0022 title=\u0022Include Resentment \u0022\u003EInclude Resentment \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-resentment\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Resentment\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-resentment\u0022 id=\u0022chk-exclude-resentment-label\u0022 title=\u0022Exclude Resentment \u0022\u003EExclude Resentment \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EResentment (29)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-fearfulness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Fearfulness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-fearfulness\u0022 id=\u0022chk-include-fearfulness-label\u0022 title=\u0022Include Fearfulness \u0022\u003EInclude Fearfulness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-fearfulness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Fearfulness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-fearfulness\u0022 id=\u0022chk-exclude-fearfulness-label\u0022 title=\u0022Exclude Fearfulness \u0022\u003EExclude Fearfulness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EFearfulness (26)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-guilt\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Guilt\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-guilt\u0022 id=\u0022chk-include-guilt-label\u0022 title=\u0022Include Guilt \u0022\u003EInclude Guilt \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-guilt\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Guilt\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-guilt\u0022 id=\u0022chk-exclude-guilt-label\u0022 title=\u0022Exclude Guilt \u0022\u003EExclude Guilt \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EGuilt (26)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-ambivalence\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Ambivalence\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-ambivalence\u0022 id=\u0022chk-include-ambivalence-label\u0022 title=\u0022Include Ambivalence \u0022\u003EInclude Ambivalence \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-ambivalence\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Ambivalence\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-ambivalence\u0022 id=\u0022chk-exclude-ambivalence-label\u0022 title=\u0022Exclude Ambivalence \u0022\u003EExclude Ambivalence \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EAmbivalence (22)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-sexual-dysfunction\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Sexual dysfunction\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-sexual-dysfunction\u0022 id=\u0022chk-include-sexual-dysfunction-label\u0022 title=\u0022Include Sexual dysfunction \u0022\u003EInclude Sexual dysfunction \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-sexual-dysfunction\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Sexual dysfunction\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-sexual-dysfunction\u0022 id=\u0022chk-exclude-sexual-dysfunction-label\u0022 title=\u0022Exclude Sexual dysfunction \u0022\u003EExclude Sexual dysfunction \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ESexual dysfunction (19)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-withdrawn\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Withdrawn\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-withdrawn\u0022 id=\u0022chk-include-withdrawn-label\u0022 title=\u0022Include Withdrawn \u0022\u003EInclude Withdrawn \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-withdrawn\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Withdrawn\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-withdrawn\u0022 id=\u0022chk-exclude-withdrawn-label\u0022 title=\u0022Exclude Withdrawn \u0022\u003EExclude Withdrawn \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EWithdrawn (19)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-dissociation\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Dissociation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-dissociation\u0022 id=\u0022chk-include-dissociation-label\u0022 title=\u0022Include Dissociation \u0022\u003EInclude Dissociation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-dissociation\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Dissociation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-dissociation\u0022 id=\u0022chk-exclude-dissociation-label\u0022 title=\u0022Exclude Dissociation \u0022\u003EExclude Dissociation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EDissociation (17)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-suicidal-behavior\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Suicidal behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-suicidal-behavior\u0022 id=\u0022chk-include-suicidal-behavior-label\u0022 title=\u0022Include Suicidal behavior \u0022\u003EInclude Suicidal behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-suicidal-behavior\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Suicidal behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-suicidal-behavior\u0022 id=\u0022chk-exclude-suicidal-behavior-label\u0022 title=\u0022Exclude Suicidal behavior \u0022\u003EExclude Suicidal behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ESuicidal behavior (17)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-danger-to-self\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Danger to self\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-danger-to-self\u0022 id=\u0022chk-include-danger-to-self-label\u0022 title=\u0022Include Danger to self \u0022\u003EInclude Danger to self \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-danger-to-self\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Danger to self\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-danger-to-self\u0022 id=\u0022chk-exclude-danger-to-self-label\u0022 title=\u0022Exclude Danger to self \u0022\u003EExclude Danger to self \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EDanger to self (16)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-obsessive-behavior\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Obsessive behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-obsessive-behavior\u0022 id=\u0022chk-include-obsessive-behavior-label\u0022 title=\u0022Include Obsessive behavior \u0022\u003EInclude Obsessive behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-obsessive-behavior\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Obsessive behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-obsessive-behavior\u0022 id=\u0022chk-exclude-obsessive-behavior-label\u0022 title=\u0022Exclude Obsessive behavior \u0022\u003EExclude Obsessive behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EObsessive behavior (16)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-despair\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Despair\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-despair\u0022 id=\u0022chk-include-despair-label\u0022 title=\u0022Include Despair \u0022\u003EInclude Despair \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-despair\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Despair\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-despair\u0022 id=\u0022chk-exclude-despair-label\u0022 title=\u0022Exclude Despair \u0022\u003EExclude Despair \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EDespair (15)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-self-harm\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Self-harm\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-self-harm\u0022 id=\u0022chk-include-self-harm-label\u0022 title=\u0022Include Self-harm \u0022\u003EInclude Self-harm \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-self-harm\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Self-harm\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-self-harm\u0022 id=\u0022chk-exclude-self-harm-label\u0022 title=\u0022Exclude Self-harm \u0022\u003EExclude Self-harm \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ESelf-harm (15)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-chronic-pain\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Chronic pain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-chronic-pain\u0022 id=\u0022chk-include-chronic-pain-label\u0022 title=\u0022Include Chronic pain \u0022\u003EInclude Chronic pain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-chronic-pain\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Chronic pain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-chronic-pain\u0022 id=\u0022chk-exclude-chronic-pain-label\u0022 title=\u0022Exclude Chronic pain \u0022\u003EExclude Chronic pain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EChronic pain (14)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-problems-concentrating\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Problems concentrating\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-problems-concentrating\u0022 id=\u0022chk-include-problems-concentrating-label\u0022 title=\u0022Include Problems concentrating \u0022\u003EInclude Problems concentrating \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-problems-concentrating\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Problems concentrating\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-problems-concentrating\u0022 id=\u0022chk-exclude-problems-concentrating-label\u0022 title=\u0022Exclude Problems concentrating \u0022\u003EExclude Problems concentrating \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EProblems concentrating (14)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-paranoia\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Paranoia\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-paranoia\u0022 id=\u0022chk-include-paranoia-label\u0022 title=\u0022Include Paranoia \u0022\u003EInclude Paranoia \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-paranoia\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Paranoia\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-paranoia\u0022 id=\u0022chk-exclude-paranoia-label\u0022 title=\u0022Exclude Paranoia \u0022\u003EExclude Paranoia \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EParanoia (12)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-irritability\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Irritability\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-irritability\u0022 id=\u0022chk-include-irritability-label\u0022 title=\u0022Include Irritability \u0022\u003EInclude Irritability \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-irritability\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Irritability\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-irritability\u0022 id=\u0022chk-exclude-irritability-label\u0022 title=\u0022Exclude Irritability \u0022\u003EExclude Irritability \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EIrritability (11)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-detached-behavior\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Detached behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-detached-behavior\u0022 id=\u0022chk-include-detached-behavior-label\u0022 title=\u0022Include Detached behavior \u0022\u003EInclude Detached behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-detached-behavior\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Detached behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-detached-behavior\u0022 id=\u0022chk-exclude-detached-behavior-label\u0022 title=\u0022Exclude Detached behavior \u0022\u003EExclude Detached behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EDetached behavior (10)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-cutting\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Cutting\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-cutting\u0022 id=\u0022chk-include-cutting-label\u0022 title=\u0022Include Cutting \u0022\u003EInclude Cutting \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-cutting\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Cutting\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-cutting\u0022 id=\u0022chk-exclude-cutting-label\u0022 title=\u0022Exclude Cutting \u0022\u003EExclude Cutting \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ECutting (8)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-indecisiveness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Indecisiveness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-indecisiveness\u0022 id=\u0022chk-include-indecisiveness-label\u0022 title=\u0022Include Indecisiveness \u0022\u003EInclude Indecisiveness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-indecisiveness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Indecisiveness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-indecisiveness\u0022 id=\u0022chk-exclude-indecisiveness-label\u0022 title=\u0022Exclude Indecisiveness \u0022\u003EExclude Indecisiveness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EIndecisiveness (8)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-isolation\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Isolation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-isolation\u0022 id=\u0022chk-include-isolation-label\u0022 title=\u0022Include Isolation \u0022\u003EInclude Isolation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-isolation\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Isolation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-isolation\u0022 id=\u0022chk-exclude-isolation-label\u0022 title=\u0022Exclude Isolation \u0022\u003EExclude Isolation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EIsolation (8)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-restlessness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Restlessness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-restlessness\u0022 id=\u0022chk-include-restlessness-label\u0022 title=\u0022Include Restlessness \u0022\u003EInclude Restlessness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-restlessness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Restlessness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-restlessness\u0022 id=\u0022chk-exclude-restlessness-label\u0022 title=\u0022Exclude Restlessness \u0022\u003EExclude Restlessness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ERestlessness (8)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-social-inhibition\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Social inhibition\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-social-inhibition\u0022 id=\u0022chk-include-social-inhibition-label\u0022 title=\u0022Include Social inhibition \u0022\u003EInclude Social inhibition \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-social-inhibition\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Social inhibition\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-social-inhibition\u0022 id=\u0022chk-exclude-social-inhibition-label\u0022 title=\u0022Exclude Social inhibition \u0022\u003EExclude Social inhibition \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ESocial inhibition (8)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-general-pain\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:General pain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-general-pain\u0022 id=\u0022chk-include-general-pain-label\u0022 title=\u0022Include General pain \u0022\u003EInclude General pain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-general-pain\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:General pain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-general-pain\u0022 id=\u0022chk-exclude-general-pain-label\u0022 title=\u0022Exclude General pain \u0022\u003EExclude General pain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EGeneral pain (7)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-compulsive-behavior\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Compulsive behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-compulsive-behavior\u0022 id=\u0022chk-include-compulsive-behavior-label\u0022 title=\u0022Include Compulsive behavior \u0022\u003EInclude Compulsive behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-compulsive-behavior\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Compulsive behavior\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-compulsive-behavior\u0022 id=\u0022chk-exclude-compulsive-behavior-label\u0022 title=\u0022Exclude Compulsive behavior \u0022\u003EExclude Compulsive behavior \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ECompulsive behavior (6)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-aggression\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Aggression\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-aggression\u0022 id=\u0022chk-include-aggression-label\u0022 title=\u0022Include Aggression \u0022\u003EInclude Aggression \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-aggression\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Aggression\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-aggression\u0022 id=\u0022chk-exclude-aggression-label\u0022 title=\u0022Exclude Aggression \u0022\u003EExclude Aggression \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EAggression (5)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-insomnia\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Insomnia\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-insomnia\u0022 id=\u0022chk-include-insomnia-label\u0022 title=\u0022Include Insomnia \u0022\u003EInclude Insomnia \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-insomnia\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Insomnia\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-insomnia\u0022 id=\u0022chk-exclude-insomnia-label\u0022 title=\u0022Exclude Insomnia \u0022\u003EExclude Insomnia \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EInsomnia (5)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-fantasizing\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Fantasizing\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-fantasizing\u0022 id=\u0022chk-include-fantasizing-label\u0022 title=\u0022Include Fantasizing \u0022\u003EInclude Fantasizing \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-fantasizing\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Fantasizing\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-fantasizing\u0022 id=\u0022chk-exclude-fantasizing-label\u0022 title=\u0022Exclude Fantasizing \u0022\u003EExclude Fantasizing \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EFantasizing (4)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-weight-gain\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Weight gain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-weight-gain\u0022 id=\u0022chk-include-weight-gain-label\u0022 title=\u0022Include Weight gain \u0022\u003EInclude Weight gain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-weight-gain\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Weight gain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-weight-gain\u0022 id=\u0022chk-exclude-weight-gain-label\u0022 title=\u0022Exclude Weight gain \u0022\u003EExclude Weight gain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EWeight gain (4)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-weight-loss\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Weight loss\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-weight-loss\u0022 id=\u0022chk-include-weight-loss-label\u0022 title=\u0022Include Weight loss \u0022\u003EInclude Weight loss \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-weight-loss\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Weight loss\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-weight-loss\u0022 id=\u0022chk-exclude-weight-loss-label\u0022 title=\u0022Exclude Weight loss \u0022\u003EExclude Weight loss \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EWeight loss (4)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-personality-changes\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Personality changes\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-personality-changes\u0022 id=\u0022chk-include-personality-changes-label\u0022 title=\u0022Include Personality changes \u0022\u003EInclude Personality changes \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-personality-changes\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Personality changes\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-personality-changes\u0022 id=\u0022chk-exclude-personality-changes-label\u0022 title=\u0022Exclude Personality changes \u0022\u003EExclude Personality changes \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EPersonality changes (3)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-self-mutilation\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Self-mutilation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-self-mutilation\u0022 id=\u0022chk-include-self-mutilation-label\u0022 title=\u0022Include Self-mutilation \u0022\u003EInclude Self-mutilation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-self-mutilation\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Self-mutilation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-self-mutilation\u0022 id=\u0022chk-exclude-self-mutilation-label\u0022 title=\u0022Exclude Self-mutilation \u0022\u003EExclude Self-mutilation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ESelf-mutilation (3)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-acting-out\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Acting out\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-acting-out\u0022 id=\u0022chk-include-acting-out-label\u0022 title=\u0022Include Acting out \u0022\u003EInclude Acting out \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-acting-out\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Acting out\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-acting-out\u0022 id=\u0022chk-exclude-acting-out-label\u0022 title=\u0022Exclude Acting out \u0022\u003EExclude Acting out \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EActing out (2)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-apnea\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Apnea\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-apnea\u0022 id=\u0022chk-include-apnea-label\u0022 title=\u0022Include Apnea \u0022\u003EInclude Apnea \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-apnea\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Apnea\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-apnea\u0022 id=\u0022chk-exclude-apnea-label\u0022 title=\u0022Exclude Apnea \u0022\u003EExclude Apnea \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EApnea (2)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-forgetfulness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Forgetfulness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-forgetfulness\u0022 id=\u0022chk-include-forgetfulness-label\u0022 title=\u0022Include Forgetfulness \u0022\u003EInclude Forgetfulness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-forgetfulness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Forgetfulness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-forgetfulness\u0022 id=\u0022chk-exclude-forgetfulness-label\u0022 title=\u0022Exclude Forgetfulness \u0022\u003EExclude Forgetfulness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EForgetfulness (2)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-inattentiveness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Inattentiveness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-inattentiveness\u0022 id=\u0022chk-include-inattentiveness-label\u0022 title=\u0022Include Inattentiveness \u0022\u003EInclude Inattentiveness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-inattentiveness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Inattentiveness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-inattentiveness\u0022 id=\u0022chk-exclude-inattentiveness-label\u0022 title=\u0022Exclude Inattentiveness \u0022\u003EExclude Inattentiveness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EInattentiveness (2)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-numbness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Numbness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-numbness\u0022 id=\u0022chk-include-numbness-label\u0022 title=\u0022Include Numbness \u0022\u003EInclude Numbness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-numbness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Numbness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-numbness\u0022 id=\u0022chk-exclude-numbness-label\u0022 title=\u0022Exclude Numbness \u0022\u003EExclude Numbness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ENumbness (2)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-racing-thoughts\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Racing thoughts\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-racing-thoughts\u0022 id=\u0022chk-include-racing-thoughts-label\u0022 title=\u0022Include Racing thoughts \u0022\u003EInclude Racing thoughts \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-racing-thoughts\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Racing thoughts\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-racing-thoughts\u0022 id=\u0022chk-exclude-racing-thoughts-label\u0022 title=\u0022Exclude Racing thoughts \u0022\u003EExclude Racing thoughts \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ERacing thoughts (2)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-apathy\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Apathy\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-apathy\u0022 id=\u0022chk-include-apathy-label\u0022 title=\u0022Include Apathy \u0022\u003EInclude Apathy \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-apathy\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Apathy\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-apathy\u0022 id=\u0022chk-exclude-apathy-label\u0022 title=\u0022Exclude Apathy \u0022\u003EExclude Apathy \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EApathy (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-burnout\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Burnout\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-burnout\u0022 id=\u0022chk-include-burnout-label\u0022 title=\u0022Include Burnout \u0022\u003EInclude Burnout \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-burnout\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Burnout\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-burnout\u0022 id=\u0022chk-exclude-burnout-label\u0022 title=\u0022Exclude Burnout \u0022\u003EExclude Burnout \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EBurnout (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-hyperactivity\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Hyperactivity\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-hyperactivity\u0022 id=\u0022chk-include-hyperactivity-label\u0022 title=\u0022Include Hyperactivity \u0022\u003EInclude Hyperactivity \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-hyperactivity\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Hyperactivity\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-hyperactivity\u0022 id=\u0022chk-exclude-hyperactivity-label\u0022 title=\u0022Exclude Hyperactivity \u0022\u003EExclude Hyperactivity \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EHyperactivity (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-hyperventilation\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Hyperventilation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-hyperventilation\u0022 id=\u0022chk-include-hyperventilation-label\u0022 title=\u0022Include Hyperventilation \u0022\u003EInclude Hyperventilation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-hyperventilation\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Hyperventilation\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-hyperventilation\u0022 id=\u0022chk-exclude-hyperventilation-label\u0022 title=\u0022Exclude Hyperventilation \u0022\u003EExclude Hyperventilation \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EHyperventilation (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-itching\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Itching\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-itching\u0022 id=\u0022chk-include-itching-label\u0022 title=\u0022Include Itching \u0022\u003EInclude Itching \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-itching\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Itching\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-itching\u0022 id=\u0022chk-exclude-itching-label\u0022 title=\u0022Exclude Itching \u0022\u003EExclude Itching \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EItching (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-mania\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Mania\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-mania\u0022 id=\u0022chk-include-mania-label\u0022 title=\u0022Include Mania \u0022\u003EInclude Mania \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-mania\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Mania\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-mania\u0022 id=\u0022chk-exclude-mania-label\u0022 title=\u0022Exclude Mania \u0022\u003EExclude Mania \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EMania (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-moodiness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Moodiness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-moodiness\u0022 id=\u0022chk-include-moodiness-label\u0022 title=\u0022Include Moodiness \u0022\u003EInclude Moodiness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-moodiness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Moodiness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-moodiness\u0022 id=\u0022chk-exclude-moodiness-label\u0022 title=\u0022Exclude Moodiness \u0022\u003EExclude Moodiness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EMoodiness (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-nightmares\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Nightmares\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-nightmares\u0022 id=\u0022chk-include-nightmares-label\u0022 title=\u0022Include Nightmares \u0022\u003EInclude Nightmares \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-nightmares\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Nightmares\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-nightmares\u0022 id=\u0022chk-exclude-nightmares-label\u0022 title=\u0022Exclude Nightmares \u0022\u003EExclude Nightmares \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ENightmares (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-peacefulness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Peacefulness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-peacefulness\u0022 id=\u0022chk-include-peacefulness-label\u0022 title=\u0022Include Peacefulness \u0022\u003EInclude Peacefulness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-peacefulness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Peacefulness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-peacefulness\u0022 id=\u0022chk-exclude-peacefulness-label\u0022 title=\u0022Exclude Peacefulness \u0022\u003EExclude Peacefulness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EPeacefulness (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-severe-sensitivity\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Severe sensitivity\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-severe-sensitivity\u0022 id=\u0022chk-include-severe-sensitivity-label\u0022 title=\u0022Include Severe sensitivity \u0022\u003EInclude Severe sensitivity \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-severe-sensitivity\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Severe sensitivity\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-severe-sensitivity\u0022 id=\u0022chk-exclude-severe-sensitivity-label\u0022 title=\u0022Exclude Severe sensitivity \u0022\u003EExclude Severe sensitivity \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ESevere sensitivity (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-tics\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Tics\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-tics\u0022 id=\u0022chk-include-tics-label\u0022 title=\u0022Include Tics \u0022\u003EInclude Tics \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-tics\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Tics\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-tics\u0022 id=\u0022chk-exclude-tics-label\u0022 title=\u0022Exclude Tics \u0022\u003EExclude Tics \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ETics (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-tooth-pain\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Tooth pain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-tooth-pain\u0022 id=\u0022chk-include-tooth-pain-label\u0022 title=\u0022Include Tooth pain \u0022\u003EInclude Tooth pain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-tooth-pain\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Tooth pain\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-tooth-pain\u0022 id=\u0022chk-exclude-tooth-pain-label\u0022 title=\u0022Exclude Tooth pain \u0022\u003EExclude Tooth pain \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003ETooth pain (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022even\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-vertigo\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Vertigo\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-vertigo\u0022 id=\u0022chk-include-vertigo-label\u0022 title=\u0022Include Vertigo \u0022\u003EInclude Vertigo \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-vertigo\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Vertigo\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-vertigo\u0022 id=\u0022chk-exclude-vertigo-label\u0022 title=\u0022Exclude Vertigo \u0022\u003EExclude Vertigo \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EVertigo (1)\u003C\/td\u003E \u003C\/tr\u003E\n \u003Ctr class=\u0022odd\u0022\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-0-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-include-withdrawal-sickness\u0022 name=\u0022f[0][]\u0022 value=\u0022symptoms_facet:Withdrawal sickness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-include-withdrawal-sickness\u0022 id=\u0022chk-include-withdrawal-sickness-label\u0022 title=\u0022Include Withdrawal sickness \u0022\u003EInclude Withdrawal sickness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd style=\u0022text-align: center; width: 70px;\u0022\u003E\u003Cdiv class=\u0022form-item form-type-checkbox form-item-f-\u0022\u003E\n \u003Cinput type=\u0022checkbox\u0022 class=\u0022checkbox-with-label form-checkbox\u0022 id=\u0022chk-exclude-withdrawal-sickness\u0022 name=\u0022f[]\u0022 value=\u0022-symptoms_facet:Withdrawal sickness\u0022 \/\u003E \u003Clabel class=\u0022option\u0022 for=\u0022chk-exclude-withdrawal-sickness\u0022 id=\u0022chk-exclude-withdrawal-sickness-label\u0022 title=\u0022Exclude Withdrawal sickness \u0022\u003EExclude Withdrawal sickness \u003C\/label\u003E\n \n\u003C\/div\u003E\n\u003C\/td\u003E\u003Ctd\u003EWithdrawal sickness (1)\u003C\/td\u003E \u003C\/tr\u003E\n\u003C\/tbody\u003E\n\u003C\/table\u003E\n\u003Cscript\u003EjQuery.lazrfacet_term_select_form(\u0027#lazr-facet-term-select\u0027);\u003C\/script\u003E\u003C\/form\u003E"}]