STAI STATE ANXIETY SELF EVALUATION QUESTIONNAIRE STAI FORM X - 1

Transcription

1 STA1-1-S 426 STAI STATE ANXIETY SELF EVALUATION QUESTIONNAIRE STAI FORM X - 1 Name Age Date DIRECTIONS: A number of statements which people have used to describe themselves are given below. Read each statement and then blacken in the appropriate circle to the right of the statement to indicate how you feel right now, that is, at this moment. There are no rights or wrong answer. Do not spend too much time on any one statement but give the answer whish seems to describe your present feeling best Statements Almost Never Some Times Often Almost Always 1. I fell calm 2. I feel secure 3. I am tense 4. I am regretful 5. I fill ease 6. I feel upset 7. I am presently worrying over 8. I feel rested 9. I feel anxious 10. I feel comfortable

2 STA1-1-S I feel self confident 12. I feel nervous 13. I feel jittery 14. I feel High Strung 15. I am relaxed 16. I feel content 17. I am worried 18. I feel over excited and rattled 19. I feel joyful 20. I feel pleasant

3 STAI-T 428 STAI TRAIT ANXIETY SELF EVALUATION QUESTIONNAIRE STAI FROM X - 2 Name Age Date DIRECTIONS: A number of statements which people have used to describe themselves are given below. Read each statement and then blacken in the appropriate circle to the right of the statement to indicate how you generally feel. There are no rights or wrong answers. Do not spend too much time on any one statement but gi ve the answer which seems to describe how you generally feel. Statements Almost Some Often Almost Never Times Always 1. I fell pleasant 2. I tire quickly 3. I feel like crying 4. I wish I could be as happy as others seem to be 5. I am losing out of things because I can't make up my mind soon enough 6. I feel rested 7. I am "calm, cool and collected" 8. I feel that difficulties are piling up so that I cant overcome them 9. I worry too much about something that really dotes not matter 10. I am happy 11. I am inclined to take things

4 STAI-T I lack self confidence I feel secure I try to avoid facing crisis or difficulty I feel blue A am content Some unimportant thought runs through my mind and bothers me. 18. I take disappointment so keenly that I can't put them out of my mind I am a steady person I become tense and upset when I think about my present concern

5 SEQ430 SELF-ESTEEM QUESTIONNAIRE INSTRUCTION List of statements is given below. These statements describe how you generally feel and think about yourself and not how others think of you. There are no right or wrong answers. Please indicate your responses by encircling the appropriate number using the following rating scale to express your feelings: 4 = Always 3 = Most of the time 2 = Sometimes 1 = Never 1 I am Happy that I am talented I am pleased with myself I feel that I have a good conscience Other people have high regard for me am happy about my parents relationship feel good because I am physically fit and healthy I do everything perfectly I feel inferior as 1 am a dull student I respect myself I feel unhappy as I am unable to concentrate I feel others give importance to me I feel that I am not needed in the family I like my physical features 1234

6 SEQ I feel I cheat others I like myself as I am intelligent I feel I am worthless I respect others as I respect feel inadequate to participate in group activities I am proud of my family I feel inferior due to my physical appearance have complete control of my life I am capable of passing the examination easily do not like myself am confident as I have the ability to manage difficult situations am happy that many of my friends like my company I feel proud of my school I worry as I am not an energetic person I tell lies I feel depressed when I fail in familiar tasks I feel confident about myself I feel bad because I am not disciplined I feel nobody cares for me worry about my family's economic conditions I think I am capable enough to participate in sports I do not have any bad habits I am pleased with myself if as I can think and act independently I am happy about my conduct 1234

7 SEQ I think I am able to concentrate inspite of distractions I am worried about what others think of me I feel ashamed because of my parent's occupation I worry when I tire easily I do not break any rules I feel that I am incapable of studying I am not happy about myself I feel that I am able to control my anger I feel happy that my Mends help me am ashamed about my parent's education I feel I am a good looking person I think I have the ability to achieve with little effort I am happy about my education I feel 1 am honest I am afro id to meet the new people I feel happy as 1 bom in my family am worried about my skin complexion I have adequate ability to achieve.something I am happy about the way I am I dislike myself when I leave any task incomplete I am not embarrassed to express my opinion in a group I wish 1 was bom in some other caste I worry about my inability to perform any physical activity I think 1 can complete tasks accurately and rapidly 1234

8 SEQ I am happy about myself I feel guilty when I tell a lie I feel hurt when others criticize me I feel happy about my childhood am not satisfied with my study habits I am not confident enough to face the future I feel bad as 1 find it difficult to control my emotions I feel that my friends are rejecting me I am happy because my parents care for me I am confident of coping with disappointment I think that I have better memory I feel that I am doing activities which are immoral I feel I have trustworthy friends appreciate myself when I am able to learn new skills quickly I think I a not able to do anything well I am a good person I am competent enough to master a skill I feel useless as 1 cannot perform well in difficult tasks I think I am able to understand ideas discussed in a group I feel had more failure than success I feel I am successful individual feel that I can think positively 1234

9 RATHUS ASSERTIVE SCHEDULE 434 RATHUS ASSERTIVE SCHEDULE INSTRUCTION FOR THE TEST Read each statement given below and then circle around the appropriate number to the right of the statements to indicate how descriptive each statement is to you. Name: Age: Sex: 1. Most people seem to be aggressive and assertive than I am 2. I have hesitated to make or accept compliments because of shyness 3. If the food is not served in time at a restaurant I complain about it to the waiter 4. I am careful about avoiding burling other peoples feelings even if I feel that I have been injured 5. If a salesman has taken a lot of time and effort to display the articles. I find it difficult to reject his offer 6. When 1 am asked to do some thing, I insist upon knowing why Not at all Some Times Often Always 7. I stand for my rights 8. I strive to get ahead of other people in a group 9. People take advantage of me 10. I enjoy starting conversation with strangers 11. I dont know what to say to people of the opposite sex 12. I will hesitate to make phone calls to my teacher, MOD/ Principal 13. I hesitate to participate in group discussions 14. I find it embarrassing to return that purchased goods

10 RATHUS ASSERTIVE SCHEDULE If a close and respected relative annoys me, I would smoothen my feelings than express annoyance. 16. I have avoided asking questions for fear of sounding stupid 17. During an argument I am afraid that I might feel upset 18. I find it difficult to oppose in class if what my teacher says is not correct 19. I find it difficult to bargain with salesmen 20. What I have done something important or worthwhile I manage to let others know about it 21. lam open and frank about my feelings 22. If someone has been spreading false and bad stories abut me I see him/her as soon as possible and have a talk about it 23. I have a hard time saying "No". 24. I tend to bottle up 'my feelings rather than express it. 25. I complain about poor service in a restaurant and elsewhere 26. When I am given a compliment I just do not know what to say. 27. If people near me keep talking in an important meeting I would ask them to be quite. 28. Anyone attempting to push a head in a queue I will ask them to follow the order 29. I don't hesitate to express my opinion 30. There are times when I just cant say anything 31. I dont know how to express my love and affection 32. I find it difficult to talk to those' of the opposite sex

11 mspss 436 MULTIDIMENSIONAL SCALE OF PERCEIVED SOCIAL SUPPORT INSTRUCTIONS: We are interested in how you feel about the following statements. Read each statement carefully indicate now you feel about each statement. Circle the "1" if you Very Strongly Disagree Circle the "2" if you Strongly Disagree Circle the "3" if you Mildly Disagree Circle the "4" if you are Neutral Circle the M5H if you Mildly Agree Circle the "6" if you Strongly Agree Circle the "7" if you Very Strongly Agree 1. There is a special person who is around when 12 3 I am in need There is a special person with whom I can 12 3 share joys and sorrows My family really tries to help me I get die emotional help and support I need 12 3 from my family I have a special person who is a real 12 3 source of comfort to me My friends really try to help me I can count on my friends when things go 12 3 wrong I can talk about my problems with family I have friends with whom I can share my 12 3 joys and sorrows There is a special.person in my life who feelings My family is willing to help me make decisions I can talk about my problems with my 12 3 friends

12 PQ 437 PERSONALITY QUESTIONNAIRE Occupation: Age: Sex: Instructions: Please answer each question by putting a circle around the "Yes" or the "No" following the question. There are no right or wrong answers, and no trick questions. Work quickly and do not think too long about the exact meaning of the question. PLEASE REMEMBER TO ANSWER EACH QUESTION 1. Do you have many different hobbies? 2. Do you stop to think things over before doing anything? Yes /No 3. Does your mood often go up and down? Yes / No 4. Have you ever taken the praise for something you one? 5. Are you a talkative person? 6. Would being in debt worry you? 7. Do you ever feel just miserable for no reason? 8. Were you ever greedy by helping yourself to more than your share of anything? 9. Do you lock up your house carefully at night? 10. Are you rather lively? 11. Would it upset you a lot to see a child or an animal suffer? 12. Do you often worry about things you should not have one or said? 13. If you say you will do something, do you always keep our promise no matter how inconvenient it might be? Yes / No 14. Would you enjoy parachute jumping?

13 PQ Can you usually late yourself go and enjoy yourself at a lively party? Yes /No 16. Are you an irritable person? 17. Have you ever blamed someone for doing something you knew was really your fault? Yes /No 18. Do you enjoy meeting new people? 19. Do you believe insurance schemes are a good idea? 20. Are your feelings easily hurt? 21. Are all your habits good and desirable one? 22. Do you tend to keep in the background on social occasions? 23. Would you take drugs which may have strange or dangerous effects? 24. Do you often feel "fed-up"? Yes /No 25. Have you ever taken anything (even a pin or button) that belonged to someone else? 26. Do you like going out a lot? 27. Do you enjoy hurting people you love? 28. Are you often troubled about feelings of guilt? Yes /No 29. Do you sometimes talk about things you know nothing about? 30 Do you prefer reading to meeting people? Yes /No 31. Do you have enemies who want to harm you? 32. Would you call yourself a nervous person? 33. Do you always say you are sorry when you have been rude? 34. Do you have many friends? Yes /No 35. Do you enjoy practical jokes that can sometimes really hurt people? 36. Are you a worrier?

14 PQ As a child did you do as you were told immediately and without grumbling? 38. Would you call yourself happy-go-lucky? Yes /No 39. Do good manners and cleanliness matter much to you? 40. Do you wony about awful things that might happen? 41. Have you ever broken or lost something belonging to someone else? 42. Do you usually take the initiative in making new friends? 43. Can you easily understand the way people feel when they tell you their troubles? 44. Would you call yourself tense or "highly-strung"? 45. Do you throw waste paper on the floor when there is no waste paper basket handy? 46. Are you mostly quiet when you are with other people? 47. Do you think marriage is old fashioned and should be done away with? 48. Do you fell self-pity now and again? 49. Do you sometimes boast a little? Yes /No 50. Can you easily get some life into a rather dull party? 51. Do people who drive carefully annoy you? 52. Do you worry about your health? 53. Have you ever said anything bad or nasty about any one? 54. Do you like telling jokes and funny stories to your friends? 55. Do most things taste the same to you? 56. Do you sometimes sulk? 57. As a child were you ever cheeky to your people? 58. Do you like mixing with people?

15 pq Does it worry you if you know there are mistakes in your work? 60. Do you suffer from sleeplessness? 61. Do you always wash before a meal? Yes /No 62. Do you nearly always have a "ready answer" when people talk to you? 63. Do you like to arrive at appointments in plenty of time? 64. Have you often felt listless and tired for no reason? 65. Have you ever cheated at a game? 66. Do you like doing things in which you have to act quickly? 67. Is (was) your mother a good woman? 68. Do you often feel life is very dull? 69. Have you ever taken advantage of someone? 70. Do you often take on more activities than you have time for? Yes /No 71. Are there several people who keep trying to avoid you? 72. Do you worry a lot about your looks? 73. Are you always polite even to unpleased people? 74. Do you thing people spend too much time safeguarding their future with savings and insurances? 75. Have your ever unshed that you were dead? 76. Would you dodge paying taxes if you were sure you could never be found out? Yes /No 77. Can you get a party going? Yes /No 78. Do you try not to be rude to people? Yes /No 79. Do you worry too long after an embarrassing experience? 80. Have you ever insisted on having your own way? 81. When you catch a train do you often arrive at the last minute?

16 PQ Do you suffer from nerves? 83. Have you ever deliberately said something to hurt someone's Feelings? 84. Do you hate being with a crowd who play harmless jokes on one another? 85. Do your friendships breakup easily without if being your fault? 86. Do you often feel lonely? 87. Do you always practice what you preach? 88. Do you sometimes like teasing animals? 89. Are you easily hurt when people find fault with you or the work you do? 90. Would life with no danger in, it be too dull for you? 91. Have you ever been late for an appointment or work? 92. Do you like plenty of bustle and excitement around you? 93. Would you like other people to be afraid of you? 94. Are you sometimes bubbling over with energy and sometimes very sluggish? 95. Do you sometimes put off unfit tomorrow what you ought to do today? 96. Do other people think of you as being very lively? 97. Do people tell you a lot of lies? 98. Are you touchy about some things? 99. Are you always willing to admit if when you have made a mistake? 100. Would you feel very sorry for an animal / caught in a trape? 101. Did you mind filling in this form? Yes /No Yes /No Yes /No Please check to see that you have answered all the questions

17 PQ 442 SCORING KEY Psychoticism Extroversion Nenroticism Lie

18 PSES 443 PRESUMPTIVE STRESSFUL EVENTS SCALE (P.S.E.S.) Name: Age: Sex: Diagnostics: Instructions: Given below are lists of common life events which are experienced by almost everyone at some time or other in their life. Kindly put a tick mark ( V) against all those events that you may have experienced during the past one year in column 1, and those you have experienced at any time prior to that in your life in column 2. No. Life Event (Past One Year) (Life Time) 1. Going on a pleasure trip or pilgrimage 2. Wife begins or stops work. 3. Change in eating habits. 4. Change in social activities. 5. Reduction in number of family functions 6. Gain of new family member. 7. Birth of daughter 8. Change in sleeping habits. 9. Change in working conditions or transfer. 10. Retirement 11. Begin or and schooling. 12. Outstanding personal achievement.

19 PSES 444 No. Life Event (Past One Year) (Life Time) 13. Change or expansion of business 14. Change in residence. 15. Unfulfilled commitments 16. Trouble with neighbour: 17. Getting married or engaged. 18. Appearing for examination or interview 19. Failure in examination 20. Death of pet 21. Maj or purchase or construction of house 22. Break up with friend. 23. Family conflict 24. Minor violation of law 25. Marriage of daughter or dependent sister 26. Large loan 27. Lack of son 28. Self or family member unemployed 29. Sexual problems 30. Conflict over dowry (self or spouse) 31. Pregnancy of wife 32. Prophecy of astrologer or palmist etc 33. Trouble at work with colleagues, superiors or subordinates

20 PSES 445 No. Life Event (Past One Year) (Life Time) 34. Illness of family member 35. Financial or loss problems 36. Son or daughter leaving home 37. Major personal illness or injury 38. Broken engagement or love affair 39. Conflict with in laws (other than over dowry). 40. Excessive alcohol or drug use by family member 41. Robbery or theft. 42. Death of friend 43. Property or crops damaged. 44. Marital conflict 45. Death of close family member 46. Lack of issue 47. Detention in jail or self or close family member 48. Suspension or dismissal from job 49. Marital separation or divorce, 50. Extramarital relations of spouse 51. Death of spouse

21 loc 446 LOCUS OF CONTROL 1. Whether or not I get to be a leader depends on my ability. 2. My life is controlled by accidental happening. 3. I feel like what happens in my life determined by powerful people. 4. Whether or not I get into an accident depends on how good driver I am. n n n n 5. When I make plans, I am certain to make them work. 6. There is no chance of protecting my personal interest from bad luck happening.

22 LOC When I get what I want, it s because I am lucky. 8. Although I might have good have ability, I will not be given leadership responsibility without appealing to those in positions of power. 9. How many friends I have depends on how nice a person I am. 10. I have found that what I like think is going to happen will happen. 11. My life is controlled by powerful others. 12. Whether or not I get into car accident is a matter of luck. 13. People like my self have no chance of protecting our personal interest when they conflict with those of strong pressure groups.

23 loc It is not wise for me to plan too far ahead, because many things turn out to be a matter of bad fortune. Strongly Agree Agree Undecided Disagree Strongly Disagree 15. Getting what I want requires pleasing people above me. Strongly Agree Agree Undecided Disagree Strongly Disagree 16. Whether or not I get to be a leader depends on whether I am lucky enough to be in the right place at the right time. Strongly Agree Agree Undecided Disagree Strongly Disagree 17. If important people were o decide they didn t me, I probably wouldn t make many friends. Strongly Agree Agree Undecided Disagree Strongly Disagree 18. I can pretty much determine what will happen in my life. o Strongly Agree Agree Undecided Disagree Strongly Disagree 19. Iam usually able to protect my personal interest.

24 LOC Whether or not I get into a ear accident depends mostly on the other driver. 21. When I get I want, it s usually because I worked hard for it. 22. In order to have my plans work, I make sure that they fit in with the desires of people who have power over me. 23. My life is determined by my own action. o o 24. It s a matter of fate whether or not I have a few friends or many. o

25 FAD 460 FAMILY ASSESSMENT DEVICE INSTRUCTIONS The following are statements about families. Please read each statement and indicate whether you strongly agree (SA), agree (A), disagree (D), or strongly disagree (SD) with each by circling the choice corresponding to your response. STRONGLY AGREE AGREE DISAGREE SA AD STRONGLY DISAGREE SD L Planning family activities is difficult because we misunderstand each other SA A D SD 2 We resolve most everyday problems around the house SA A D SD 1 When someone is upset, the others know why. SA A D SD 4 When you ask someone to do something, you have to check that they did rt SA A D SD 5 If someone is in trouble, the others become too mvolved SA A D SD 6 In times of crisis, we can turn to each other for support SA A D SD 7. We don't know what to do when an emergency comes up SA A D SD & We sometimes run out of things we need. SA A D SD 9. We are reluctant to show our affection for each other SA A D SD IQ We malm sure members meet their family responsibihties. SA A D SD 11 We cannot talk to each other about the sadness we teel SA A D SD 12 We usually act on our decisions regarding problems SA A D SD H You only get the interest of others when something is important to them SA A D SD M. You cant tdl how a person is feeling from what they are saying SA A D SD 15 Family tasks dont get spread around enough SA A D SD 16 Individuals are accepted for what they are. SA A D SD 17 You can easily get away with breaking the rules SA A D SD IS People come right out and say thmgs instead of hinting at them SA A D SD 19. Some of us just dont respond emotionally. SA A D SD 2Q We know what to do in an emergency SA A D SD 21 We avoid discussing our fears and concerns. SA A D SD 22 It is difficult to talk to each other about tender feelings. SA A D SD 23 We have trouble meeting our bills. SA A D SD 24 After our family tries 10 solve a problem, we usually discuss whether it worked or not SA A D SD

26 FAD We are too self-centered SA A D SD 26 We can express feelings to each other SA A D SD 27. We have no clear expectations about personal hygiene SA A D SD 28 We do not show our love for each other. SA A D SD 29 We talk to people directly rather than through go- betweens SA A D SD 3Q Each of us has particular duties and responsibilities. SA A D SD 31 There are lots of bad feelings in the family. SA A D SD 32 We have rules about hitting people SA A D SD 33 We get involved with each other only when something interests us. SA A D SD 34 There's little tune to explore personal interests SA A D SD 35 We often don't say what we mean. SA A D SD 36 We feel accepted for what we are SA A D SD 37 We show interest m each other when we can get something out of it personally. SA A D SD 38 We resolve most emotional upsets that come up SA A D SD 39. Tenderness takes second place to other things m our family. SA A D SD 4Q We discuss who is to do household jobs SA A D SD 41 Making decisions is a problem for our family. SA A D SD 42 Our family shows interest m each other only when they can get something out of it SA A D SD 43 We are frank with each other SA A D SD 44 We don t hold to any rules or standards. SA A D SD 45 If people are asked to do something, they need reminding. SA A D SD 46 We are able to make decisions about how to solve problems SA A D SD the rules are broken, we don't know what to expect SA A D SD 48 Anything goes in our family. SA A D SD 49 We express tenderness. SA A D SD 5Q We confront problems involving feelings SA A D SD 51 We don't get along well together SA A D SD 52 We don't talk to each other when we are angry SA A D SD 53 We are generally dissatisfied with the family duties assigned to us 54 Even though we mean well, we intrude too much mto each others lives SA A D SD SA A D SD 55 There are rules about dangerous situations. SA A D SD 56 We confide in each other SA A D SD 57. We cry openly. SA A D SD 58 We don't have reasonable transportation SA A D SD 59 When we don't like what someone has done, we tell them. SA A D SD 6Q We try to think of different ways to solve problems. SA A D SD

27 BRIEF- FNE 452 BRIEF FEAR OF NEGATIVE EVALUATION SCALE (Brief-FNE) INSTRUCTIONS: Read each of the following statements carefully and indicate how characteristic it is of you according to the following scale: 1 = Not at all characteristic of me 2 = Slightly characteristic of me 3 = Moderately characteristic of me 4 = Very characteristic of me 5 = Extremely characteristic of me Reverse score items were marked (R) before summing. 1. I worry about what other people will think of me even when. 54 I know it doesn't make any difference. 2. Iam unconcerned even if I know people are forming an.53 unfavorable impression of me. (R) 3. Iam frequently afraid of other people noticing my shortcomings I rarely worry about what kind of impression. 57 I am making on someone. (R) 5. Iam afraid that others will not approve of me Iam afraid that people will find fault with me Other people's opinions of me do not bother me. (R) When I am talking to someone, I worry about what they.60 may be thinking about me. 9. Iam usually worried about what kind of Impression I make If I know someone is judging me, it has little effect on me. (R) Sometimes I think I am too concerned with what other people think of me I often worry that I will say or do the wrong things..73

28 BELL S 453 BELL S ADJUSTMENT INVENTORY (Indian Adaptation) 1988 STATEMENT 1. Do you always fool headache? Yes /No 2. I you feel fear to meet Doctor, even knowing that you are ill? 3. Do not have interest participating social festival? Yes /No 4. Usually I feel in mind to go away from home. 5. The smallest trouble is the cause of mine headache 6. Do you feel that usually yours parents feel trouble to yourself? 7. Usually do you feel feeling of frustration? 8. Usually I do not try to take any responsibility in any social festival? 9. Do your mother, usually try to impose her dominance in the family? 10. Do you usually make Air fort? 11. Do you are not able to express your views in front of people in spite of knowing that your vies are appropriate. 12. Are you usually anxious toward your physical health? Yes /No 13. The cough and cold do not leave you in summer or winter season? Yes /No

29 BELL S Do you feel shame on father s activities for the conduction of family? 15. When you meet unhappy peoples then do you laugh them with your talk? Yes /No 16. Minute things trouble me so much that I often feel sad? 17. I am agree with this statement that one should take active part social custom and rituals? 18. Do you usually feel discomfort due to your health? Yes /No 19. Often get afraid in talking with others? 20. Are you worry due to the parents doubtful nature? 21. I get pleasure in respecting the aged people of the society? 22. Are you decreased in weight from few days? 23. Feel upset even the few days absent of the parents? 24. Upset to face problems either they are simple or difficult? 25. It becomes my habit to take active part in social function? 26. My eyes not get wet on seeing any body in trouble or distress? 27. Do you often feel cough and cold? 28. Axe your family life is unpleasant or sad due to the illness or death of close relatives? 29. Do you not like your family life due to economic deprivation? 30. Axe you anxious due to the behaviour of your parents? Yes /No 31. When any body supersedes then. I feel jealous? Yes /No

30 BELL S Whatever plans any trends or colleague makes, they certainly take my suggestion? 33. Whenever things are not of my wish, I get angry? 34. Do you often fear Influenja? 35. It is better to make good friends than earn more money? Yes /No 36. Do you often ill since five years back? 37. Do you often oppose to your parents in relation to family affair? 38. Do you often feel mental unpleasant without any cause? 39. I feel fear to go out alone in night. 40. Neither my family members nor the neighbours often like my views? 41. Do you usually take consultation from Doctor? 42. Do you usually feel fatigue? 43. Do you love more to your mother in comparison to father? 44. Despite of working alone it is pleasure to work with people? 45. The people who know me, like me very much, 46. I feel happy with minor praise? 47. Do you usually keep-quite for maintaining peace in house? 48. Do you astonished even on the simple events? 49. Do you have complaint of digestion? Yes /No 50. Do you feel unpleasant due to the behaviour of your brothers-sister? 51. I get nervous at the sight of numerous, people in n function?

31 BELL S Do you usually sink in thinking due to the behaviour of your parent? 53. Even the simple words of insult, excite me? 54. I like very much to talk freely with people? 55. Often I am so much disturbed that 1 sleep quite late at night? 56. My family members are not attentive to my health? 57. My family member s dins pay respect to my views? 58. Often the travelers gossip with me? Yes /No 59. I feel hesitant in talking with others? 60. I get afraid talking freely with the ciders of my family? Yes / No 61. My face brightens even at the simplest pleasure? Yes /No 62. Even a minor opposition troubles me? 63. There in lack of familial love in my house? 64. I often get wind formation in stomach? 65. I feel physically tired all the time? 66. The people who know me like me very much? 67. Even the simplest event makes me astonished? 68. Are you feel unpleasant due to knowing this fact none of the family members like you? 69. I Do you hate your parents due to their activities? Yes /No 70. I feel edgy? 71. I remain frightened all the time not sure what will happen?

32 BELL S Are you trouble to think that people going on the way are looking your side? 73. Do you like to participate in. social festival or entertainment gatherings? 74. Do you anxious for long time due to insulting experience? 75. Are your mental slate changes without any specific seasons? Yes /No 76. Are you feel angriness in your mind at the time of praising other brother-sister in the home? 77. Are you distressed due to noisy environment of home so you can not study? 78. Do you like become a leader for the social activities? 79. Do you feel difficulty in starting the talk to the any stranger? Yes /No 80. Many silly indices come into my head? Yes /No