Professional Documents
Culture Documents
Name:
Date:
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 sca/e rs as follows:
2
3
23
IJ
10
11
12
13
14
II
15
16
17
18
19
1
2
3
4
5
6
7
8
I
2A
21
23
23
23
23
23
23
23
23
23
23
23
23
23
23
z3
23
)2.
0123
0123
0123
0123
0123
0123
26
27
28
29
30
31
32
33
34
35
22
23
24
?5
36
37
38
39
4A
felt terrified
123
123
123
123
123
123
123
123
123
123
0123
0123
0123
0123
0123
a fool of myself
41
42
01
01
IJ
23