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Below are a number of statements that people use to describe themselves. Read each statement and indicate how you generally feel — that is, how you feel most of the time. There are no right or wrong answers.
1 = Not at all · 2 = Somewhat · 3 = Moderately so · 4 = Very much so
| Not at all 1 |
Somewhat 2 |
Moderately so 3 |
Very much so 4 |
|
|---|---|---|---|---|
| I feel calm | {{ for choice in form.stai_calm }}{{ choice }} | {{ endfor }}|||
| I feel tense | {{ for choice in form.stai_tense }}{{ choice }} | {{ endfor }}|||
| I feel upset | {{ for choice in form.stai_upset }}{{ choice }} | {{ endfor }}|||
| I am relaxed | {{ for choice in form.stai_relaxed }}{{ choice }} | {{ endfor }}|||
| I feel content | {{ for choice in form.stai_content }}{{ choice }} | {{ endfor }}|||
| I am worried | {{ for choice in form.stai_worried }}{{ choice }} | {{ endfor }}
The questions below ask about your feelings and thoughts during the last month. In each case, indicate how often you felt or thought a certain way.
0 = Never · 1 = Almost never · 2 = Sometimes · 3 = Fairly often · 4 = Very often
| Never 0 |
Almost never 1 |
Sometimes 2 |
Fairly often 3 |
Very often 4 |
|
|---|---|---|---|---|---|
| How often have you been upset because of something that happened unexpectedly? | {{ for choice in form.pss1 }}{{ choice }} | {{ endfor }}||||
| How often have you felt that you were unable to control the important things in your life? | {{ for choice in form.pss2 }}{{ choice }} | {{ endfor }}||||
| How often have you felt nervous and stressed? | {{ for choice in form.pss3 }}{{ choice }} | {{ endfor }}||||
| How often have you felt confident about your ability to handle your personal problems? | {{ for choice in form.pss4 }}{{ choice }} | {{ endfor }}||||
| How often have you felt that things were going your way? | {{ for choice in form.pss5 }}{{ choice }} | {{ endfor }}||||
| How often have you found that you could not cope with all the things that you had to do? | {{ for choice in form.pss6 }}{{ choice }} | {{ endfor }}||||
| How often have you been able to control irritations in your life? | {{ for choice in form.pss7 }}{{ choice }} | {{ endfor }}||||
| How often have you felt that you were on top of things? | {{ for choice in form.pss8 }}{{ choice }} | {{ endfor }}||||
| How often have you been angered because of things that happened that were outside of your control? | {{ for choice in form.pss9 }}{{ choice }} | {{ endfor }}||||
| How often have you felt difficulties were piling up so high that you could not overcome them? | {{ for choice in form.pss10 }}{{ choice }} | {{ endfor }}
How would you rate your math skills?
1 = Very poor · 5 = Excellent
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| Math skills | {{ for choice in form.math_skills }}{{ choice }} | {{ endfor }}
How comfortable are you with the cold?
1 = Very uncomfortable · 5 = Very comfortable
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| Cold comfort | {{ for choice in form.cold_comfort }}{{ choice }} | {{ endfor }}