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, Citer 4 préoccupations qui vous dérangent ou vous inquiètent, à l'exception de la parole ou de la communication
, ? Donner une priorité à ces difficultés de 1 à 5, où 1 correspondra à votre plus grande préoccupation et 5 à celle qui vous inquiète le moins
,
, La moins préoccupante/ inquiétante Ce questionnaire a été rempli par (cocher une seul case) : Moi seul Moi