Questionnaire
No. Statements Not True Seldom Sometimes Often Very
of Me True of True of Me True of Often
Me Me True of
Me
1 I'm a fairly
cheerful
person
2 I like helping
people
3 I'm unable to
express my
ideas to
others
4 It is a problem
controlling my
anger
5 My approach
in overcoming
difficulties is
to move step
by step
6 I don't do
anything bad
in my life
7 I feel sure of
myself in most
situations
8 I'm unable to
understand
the way other
people feel
9 I prefer others
to make
decisions for
me
10 My
impulsiveness
creates
problems
11 I'm trying to
see things as
they really
are, without
fantasizing or
daydreaming
about them
12 Nothing
disturbs me
13 I believe that I
can stay on
top of tough
situations
14 I'm good at
understanding
the way other
people feel
15 It's hard for
me to
understand
the way I feel
16 I feel that it's
hard for me to
control my
anxiety
17 When faced
with a difficult
situation, I
like to collect
all the
information
about it that I
can
18 I have not told
a lie in my life
19 I'm optimistic
about most
things I do
20 My friends
can tell me
intimate
things about
themselves
21 In the past
few years, I've
accomplished
little
22 I tend to
explode with
anger easily
23 I like to get an
overview of a
problem
before trying
to solve it
24 I have not
broken a law
of any kind
25 I care what
happens to
other people
26 It's hard for
me to enjoy
life
27 It's hard for
me to make
decisions on
my own
28 I have strong
impulses that
are hard to
control
29 When facing a
problem, the
first thing I do
is stop and
think
30 I don't have
bad days
31 I am satisfied
with my life
32 My close
relationships
mean a lot to
me and to my
friends
33 It's hard to
express my
intimate
feelings
34 I'm impulsive
35 When trying
to solve a
problem, I
look at each
possibility and
then decide
on the best
way
36 I have not
been
embarrassed
for anything
I've done
37 I get
depressed
38 I'm able to
respect others
39 I'm more of a
follower than
a leader
40 I've got a bad
temper
41 In handling
situations that
arise, I try to
think of as
many
approaches as
I can
42 I generally
expect things
will turn out
right, despite
setbacks from
time to time
43 I'm sensitive
to the feelings
of others
44 Others think
that I lack
assertiveness
45 I'm impatient
46 I believe in my
ability to
handle most
upsetting
problems
47 I have good
relations with
others
48 It's hard for
me to
describe my
feelings
49 Before
beginning
something
new, I usually
feel that I'll
fail
50 It's difficult
for me to
stand up for
my rights
51 People think
that I'm
sociable