<Fragment xmlns:r="ddi:reusable:3_3" xmlns="ddi:instance:3_3">
  <QuestionItem isUniversallyUnique="true" versionDate="2025-04-17T14:23:54.6376554Z" xmlns="ddi:datacollection:3_3">
    <r:URN>urn:ddi:int.example:2ff19d1c-f62b-470b-a908-f41c03fa5033:1</r:URN>
    <r:Agency>int.example</r:Agency>
    <r:ID>2ff19d1c-f62b-470b-a908-f41c03fa5033</r:ID>
    <r:Version>1</r:Version>
    <r:VersionResponsibility>fdz@dezim-institut.de</r:VersionResponsibility>
    <QuestionItemName>
      <r:String xml:lang="de">hlt0010x01</r:String>
      <r:String xml:lang="en">hlt0010x01</r:String>
      <r:String xml:lang="en-GB">hlt0010x01</r:String>
    </QuestionItemName>
    <r:Label>
      <r:Content xml:lang="de">Healthy Days Measure: Seelische Gesundheit</r:Content>
      <r:Content xml:lang="en">Healthy Days Measure: mental health</r:Content>
      <r:Content xml:lang="en-GB">Healthy Days Measure: mental health</r:Content>
    </r:Label>
    <QuestionText audienceLanguage="de">
      <LiteralText>
        <Text>Bitte denken Sie an Ihre psychische Gesundheit – dazu zählen auch Stress, Depressionen oder Ihre Stimmung ganz allgemein. An wie vielen Tagen der letzten 28 Tage ging es Ihnen psychisch nicht gut?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en">
      <LiteralText>
        <Text>Please think about your mental health – including stress, depression, or your overall mood. On how many of the past 28 days did you feel mentally unwell?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en-GB">
      <LiteralText>
        <Text>Please think about your mental health – including stress, depression, or your overall mood. On how many of the past 28 days did you feel mentally unwell?</Text>
      </LiteralText>
    </QuestionText>
    <r:ResponseCardinality minimumResponses="0" maximumResponses="0" />
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