Survey Questions | Alexandra Krieger

MSc Research Project Study Questionnaire (SQ)

First Name

Last Name

Age

Gender

Male

Female

Other

Please take a few minutes to answer honestly—there are no wrong answers, just a reflection on where you’re at right now.

Please rate how much you have been bothered by the following problems during the past two weeks.

	Not at all	Several days	More than half the days	Nearly every day
Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Worrying too much about different things
Trouble relaxing
Being so restless that it is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid, as if something awful might happen

How difficult have these made it for you to do your work, take care of things at home, or get along with other people?

Not difficult at all

Somewhat difficult

Very difficult

Extremely difficult

Please choose the response for each question that is most true for you.

	Almost Never	Sometimes	About half the time	Most of the time	Almost always
1. I am clear about my feeling
2. I pay attention to how I feel
3. I experience my emotions as overwhelming and out of control
4. I have no idea how I am feeling
5. I have difficulty making sense out of my feelings
6. I am attentive to my feelings
7. I know exactly how I am feeling
8. I care about what I am feeling
9. I am confused about how I feel
10. When I’m upset, I acknowledge my emotions

	Almost Never	Sometimes	About half the time	Most of the time	Almost always
11. When I’m upset, I become angry with myself for feeling that way
12. When I’m upset, I become embarrassed for feeling that way
13. When I’m upset, I have difficulty getting work done
14. When I’m upset, I become out of control
15. When I’m upset, I believe that I will remain that way for a long time
16. When I’m upset, I believe that I’ll end up feeling very depressed
17. When I’m upset, I believe that my feelings are valid and important
18. When I’m upset, I have difficulty focusing on other things
19. When I’m upset, I feel out of control
20. When I’m upset, I can still get things done

	Almost Never	Sometimes	About half the time	Most of the time	Almost always
21. When I’m upset, I feel ashamed with myself for feeling that way
22. When I’m upset, I know that I can find a way to eventually feel better
23. When I’m upset, I feel like I am weak
24. When I’m upset, I feel like I can remain in control of my behaviours
25. When I’m upset, I feel guilty for feeling that way
26. When I’m upset, I have difficulty concentrating
27. When I’m upset, I have difficulty controlling my behaviours
28. When I’m upset, I believe that there is nothing I can do to make myself feel better
29. When I’m upset, I become irritated with myself for feeling that way
30. When I’m upset, I start to feel very bad about myself

	Almost Never	Sometimes	About half the time	Most of the time	Almost always
31. When I’m upset, I believe that wallowing in it is all I can do
32. When I’m upset, I lose control over my behaviours
33. When I’m upset, I have difficulty thinking about anything else
34. When I’m upset I take time to figure out what I’m really feeling.
35. When I’m upset, it takes me a long time to feel better
36. When I’m upset, my emotions feel overwhelming