Psychometric Standardized Measures Psychometric Standardized Measures Unique Code * The code provided to you by your health officer Directions: Sometimes people experience very difficult events or crises in their lives. Below is a list of ways in which people respond to those events. For each question, please circle the number closest to how you personally respond: 1 = never; 2 = rarely; 3 = sometimes; or 4 = always. “When I experience a crisis, or extremely difficult event, I…” 1. Can follow a lot of directions at once, even in a crisis * 1 = Never2 = Rarely3 = Sometimes4 = Always. 2. Call the problem what it is and try to see the whole picture * 1 = Never2 = Rarely3 = Sometimes4 = Always. 3. Gather as much information as possible to increase my options * 1 = Never2 = Rarely3 = Sometimes4 = Always. 4. Generally try to make everything work in my favor * 1 = Never2 = Rarely3 = Sometimes4 = Always. 5. Can think of nothing else, except what’s bothering me * 1 = Never2 = Rarely3 = Sometimes4 = Always. 6. Try to get more resources to deal with the situation * 1 = Never2 = Rarely3 = Sometimes4 = Always. 7. Use humour in handling the situation * 1 = Never2 = Rarely3 = Sometimes4 = Always. 8. Am more effective under stress * 1 = Never2 = Rarely3 = Sometimes4 = Always. 9. Take strength from spirituality or the successes of courageous people * 1 = Never2 = Rarely3 = Sometimes4 = Always. 10. Can benefit from my past experiences for what is happening now * 1 = Never2 = Rarely3 = Sometimes4 = Always. 11. Try to be creative and come up with new solutions * 1 = Never2 = Rarely3 = Sometimes4 = Always. 12. Brainstorm as many possible solutions as I can even if they seem far out * 1 = Never2 = Rarely3 = Sometimes4 = Always. 13. Find I become ill * 1 = Never2 = Rarely3 = Sometimes4 = Always. 14. Too often give up easily * 1 = Never2 = Rarely3 = Sometimes4 = Always. 15. Develop a plan with a series of actions to deal with the event * 1 = Never2 = Rarely3 = Sometimes4 = Always. Please read each statement and circle a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement. The rating scale is as follows: 0. Did not apply to me at all 1. Applied to me to some degree, or some of the time 2. Applied to me to a considerable degree or a good part of time 3. Applied to me very much or most of the time 1. I found it hard to relax or calm down * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 2. I was aware of dryness of my mouth * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 3. I couldn’t seem to experience any positive feeling at all * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 4. I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 5. I found it difficult to work up the initiative to do things * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 6. I tended to over-react to situations * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 7. I experienced trembling (e.g. in the hands) * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 8. I felt that I was using a lot of nervous energy * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 9. I was worried about situations in which I might panic and make a fool of myself * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 10. I felt that I had nothing to look forward to * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 11. I found myself getting agitated * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 12. I found it difficult to relax * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 13. I felt down-hearted and blue * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 14. I was intolerant of anything that kept me from getting on with what I was doing * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 15. I felt I was close to panic * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 16. I was unable to become enthusiastic about anything * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 17. I felt I wasn’t worth much as a person * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 18. I felt that I was rather touchy * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 19. I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat) * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 20. I felt scared without any good reason * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time 21. I felt that life was meaningless * 0. Did not apply to me at all1. Applied to me to some degree, or some of the time2. Applied to me to a considerable degree or a good part of time3. Applied to me very much or most of the time Please read each of the following statements carefully and indicate how each of the following questions applies to you. 1. Not at all like me 2. Slightly like me 3. Moderately like me 4. Very much like me 5. Extremely like me 1. I worry about what other people will think of me even when I know it doesn’t make any difference * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 2. I am unconcerned even if I know people are forming an unfavourable impression of me.v * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 3. I am frequently afraid of other people noticing my shortcomings. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 4. I rarely worry about what kind of impression I am making on someone. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 5. I am afraid others will not approve of me. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 6. I am afraid that people will find fault with me. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 7. Other people’s opinions of me do not bother me. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 8. When I am talking to someone, I worry about what they may be thinking about me. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 9. I am usually worried about what kind of impression I make. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 10. If I know someone is judging me, it has little effect on me. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 11. Sometimes I think I am too concerned with what other people think of me. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me 12. I often worry that I will say or do the wrong things. * 1. Not at all like me2. Slightly like me3. Moderately like me4. Very much like me5. Extremely like me Submit If you are human, leave this field blank. Δ
