Questionnaire by sdaferv

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STAI Your responses will be treated completely confidentially, and results will only be referred to in statistical form or anonymously. Please read the following statements about how people feel in general. Circle the number that best describes how you generally feel. There are no right or wrong answers. 1 I feel pleasant Almost never 1 2 3 4 5 6 7 Almost always

2 I feel nervous and restless Almost never 1 2 3 4 5 6 7 Almost always

3 I feel satisfied with myself Almost never 1 2 3 4 5 6 7 Almost always

4 I wish I could be as happy as others seem to be Almost never 1 2 3 4 5 6 7 Almost always

5 I feel rested Almost never 1 2 3 4 5 6 7 Almost always

6 I am ‘calm, cool and collected’ Almost never 1 2 3 4 5 6 7 Almost always

7 I feel that difficulties are piling up so that I cannot overcome them Almost never 1 2 3 4 5 6 7 Almost always

8 I worry too much over something that doesn’t really matter Almost never 1 2 3 4 5 6 7 Almost always

9 I am happy Almost never 1 2 3 4 5 6 7 Almost always

10 I have disturbing thoughts Almost never 1 2 3 4 5 6 7 Almost always

ID_______

M/F

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11 I lack self-confidence Almost never 1 2 3 4 5 6 7 Almost always

12 I feel secure Almost never 1 2 3 4 5 6 7 Almost always

13 I make decisions easily Almost never 1 2 3 4 5 6 7 Almost always

14 I feel inadequate Almost never 1 2 3 4 5 6 7 Almost always

15 I am content Almost never 1 2 3 4 5 6 7 Almost always

16

Unimportant thoughts run through my mind and bother me 1 2 3 4 5 6 7 Almost always

Almost never

17 I take disappointments to heart and I can’t put them out of my mind Almost never 1 2 3 4 5 6 7 Almost always

18 I get in a state of tension or turmoil when I think about my recent concerns and interests Almost never 1 2 3 4 5 6 7 Almost always

ID_______

M/F


								
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