Name/ID *
I have felt terrible alone and isolated * I have felt terrible alone and isolated Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt tense, anxious or nervous * I have felt tense, anxious or nervous Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt I have someone to turn to for support when needed. * I have felt I have someone to turn to for support when needed. Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt O.K. about myself * I have felt O.K. about myself Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt totally lacking in energy and enthusiasm * I have felt totally lacking in energy and enthusiasm Not at all Only Occassionally Sometimes Often Most of the time None of these
I have been physically violent to others * I have been physically violent to others Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt able to cope when things go wrong * I have felt able to cope when things go wrong Not at all Only Occassionally Sometimes Often Most of the time None of these
I have been troubled by aches, pains or other physical problems * I have been troubled by aches, pains or other physical problems Not at all Only Occassionally Sometimes Often Most of the time None of these
I have thought of hurting myself * I have thought of hurting myself Not at all Only Occassionally Sometimes Often Most of the time None of these
Talking to people has felt too much for me * Talking to people has felt too much for me Not at all Only Occassionally Sometimes Often Most of the time None of these
Tension and anxiety have prevented me doing important things * Tension and anxiety have prevented me doing important things Not at all Only Occassionally Sometimes Often Most of the time None of these
I have been happy with the things I have done * I have been happy with the things I have done Not at all Only Occassionally Sometimes Often Most of the time None of these
I have been disturbed by unwanted thoughts and feelings * I have been disturbed by unwanted thoughts and feelings Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt like crying * I have been disturbed by unwanted thoughts and feelings Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt panic or terror * I have felt panic or terror Not at all Only Occassionally Sometimes Often Most of the time None of these
I made plans to end of my life * I made plans to end of my life Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt overwhelmed by my problems * I have felt overwhelmed by my problems Not at all Only Occassionally Sometimes Often Most of the time None of these
I have had difficulty getting to sleep or staying asleep * I have had difficulty getting to sleep or staying asleep Not at all Only Occassionally Sometimes Often Most of the time None of these
My problems have been impossible to put to one side * My problems have been impossible to put to one side Not at all Only Occassionally Sometimes Often Most of the time None of these
I have been able to do most things I needed to * I have been able to do most things I needed to Not at all Only Occassionally Sometimes Often Most of the time None of these
I have threatened or intimidated another person * I have threatened or intimidated another person Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt despairing or hopeless * I have felt despairing or hopeless Not at all Only Occassionally Sometimes Often Most of the time None of these
I have thought it would be better if I were dead * I have thought it would be better if I were dead Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt criticised by other people * I have felt criticised by other people Not at all Only Occassionally Sometimes Often Most of the time None of these
I have thought I have no friends * I have thought I have no friends Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt unhappy * I have felt unhappy Not at all Only Occassionally Sometimes Often Most of the time None of these
Unwanted images or memories have been distressing me * Unwanted images or memories have been distressing me Not at all Only Occassionally Sometimes Often Most of the time None of these
I have been irritable when with other people * I have been irritable when with other people Not at all Only Occassionally Sometimes Often Most of the time None of these
I have thought I am to blame for my problems and difficulties * I have thought I am to blame for my problems and difficulties Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt optimistic about my future * I have felt optimistic about my future Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt optimistic about my future * I have felt optimistic about my future Not at all Only Occassionally Sometimes Often Most of the time None of these
I have achieved the things I wanted to * I have achieved the things I wanted to Not at all Only Occassionally Sometimes Often Most of the time None of these
I have felt humiliated or shamed by other people * I have felt humiliated or shamed by other people Not at all Only Occassionally Sometimes Often Most of the time None of these
I have hurt myself physically or taken dangerous risks with my health * I have hurt myself physically or taken dangerous risks with my health Not at all Only Occassionally Sometimes Often Most of the time None of these
