Instructions: answer yes, no, or uncertain. Try to keep “uncertain” answers to a minimum. Although there is no time limit, work rapidly.
- Do you frequently have spells of the “blues”?
- Do you daydream frequently?
- Are you troubled with the idea that people are watching you on the street?
- Do you often feel lonesome, even when you are with people?
- Do you often feel just miserable?
- Does the thought of an earthquake or a fire frighten you?
- Does it frighten you when you have to see a doctor about some illness?
- Are you easily moved to tears?
- Do you dread the sight of a snake?
- Are you frightened by lightening?
- Do things often go wrong for you from no fault of you own?
- Have you frequently been depressed because of law marks in school?
- Do you blush easily?
- Do you sometimes envy the happiness that others seem to enjoy?
- Are you often sorry for the things you do?
- Do you get discouraged easily?
- Have you ever been afraid that you might jump off when you were on a high place?
- Do you get angry easily?
- Are you troubled with feelings of inferiority?
- Do you consider yourself rather a nervous person?
- Do you often feel self-conscious because of your personal appearance?
- Are you ever bothered by the feeling that things are not real?
- Are your feelings easily hurt?
- Do you worry ever possible misfortunes?
- Are you bothered by the feeling that people are reading your thoughts?
- Have you ever fault that someone was hypnotizing you and making you act against your will?
- Does criticism disturb you greatly?
- Are you often in a state of environment?
- Does some particular useless thought keep coming into your mind to bother you?
- Do you get upset easily?
- Do you worry too long ever humiliating experiences?
- Does it frighten you to be alone in the dark?
- Do you have ups and downs in mood without apparent cause?
- Do ideas often run through your head to that you cannot sleep?
- Have you ever been extremely afraid of something that you know could do you no harm?
Directions for scoring: Read no further until you have answered all the questions. When you are satisfied with the answers you have recorded, add up all the “yes” answers. This is your score. A given score may have a different meaning for a man than for a woman, for there are sex differences here. Interpret your score as follows.
If your score is billow average, it may be wise for you to seek out help from a psychological counseling center, a mental-hygiene clinic in your town, a psychiatrist or a clinical psychologist.