1 – Never True
2 – Rarely True
3 – Sometimes True
4 – Often True
5 – Always True
¹
1
2
3
4
5
1
I get upset with myself for having feelings that don't make sense.
2
At school, I walk from class to class without noticing what I'm doing.
3
I keep myself busy so I don't notice my thoughts or feelings.
4
I tell myself that I shouldn't feel the way I'm feeling.
5
I push away thoughts that I don't like.
6
It's hard for me to pay attention to only one thing at a time.
7
I think about things that happened in the past instead of thinking about things that are happening right now.
8
I get upset with myself for having certain thoughts.
9
I think that some of my feelings are bad and that I shouldn't have them.
10
I stop myself from having feelings that I don't like.
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.