Please read each statement and select 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 a considerable degree, or a good part of the time.
3 = Applied to me very much, or most of the time.
0
1
2
3
1. I found it very hard to wind down.
2. I was aware of dryness of my mouth.
3. I couldn’t seem to experience any positive feeling at all.
5. I found it difficult to work up the initiative to do things.
6. I tended to over-react to situations.
7. I experienced trembling (e.g. in the hands).
8. I felt that I was using a lot of nervous energy.
10. I felt I had nothing to look forward to.
11. I found myself getting agitated.
12. I found it difficult to relax.
13. I felt down-hearted and blue.
15. I felt I was close to panic.
16. I was unable to become enthusiastic about anything.
17. I felt I wasn’t worth much as a person.
18. I felt that I was rather touchy.
20. I felt scared without any good reason.
21. I felt that life was meaningless.
This questionnaire is copyright. All rights reserved. Adapted for onscreen administration by Andrew J. Campbell with permission of the publishers, The Psychology Foundation of Australia Inc. Copyright © 1995 S.H. Lovibond and P.F. Lovibond. Revised: November 15, 2008
Send email to rossmenzies@ozemail.com.au with questions or comments about this web site. Copyright © 2001 - 2008 Associate Professor Ross G. Menzies Last modified: Sunday November 16, 2008 Web Site Designed and Created by Dr. Andrew J. Campbell
