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Archived from the original on March 3, 2017

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The team used the Kessler Psychological Distress Scale, a six-item self-report assessment where participants reported on a 5-point scale the degree to which they experienced feelings or emotions like nervous, hopeless or so depressed that nothing could cheer them up. Scores are developed by summing points for the six experiences

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Renewing after the September 20 deadline may result in a lapse of your authorization to sell tobacco products and potential state tax penalties