1 : Not at all
2
3
4
5 : Very much
¹
1
2
3
4
5
1
Take some time off and get away from the situation.
2
Focus on the problem and see how I can solve it.
3
Blame myself for having gotten into this situation.
4
Treat myself to a favorite food or snack.
5
Feel anxious about not being able to cope.
6
Think about how I solved similar problems.
7
Visit a friend.
8
Determine a course of action and follow it.
9
Buy myself something.
10
Blame myself for being too emotional about the situation.
11
Work to understand the situation.
12
Become very upset.
13
Take corrective action immediately.
14
Blame myself for not knowing what to do.
15
Spend time with a special person.
16
Think about the event and learn from my mistakes.
17
Wish that I could change what had happened or how I felt.
18
Go out for a snack or meal.
19
Analyze my problem before reacting.
20
Focus on my general inadequacies.
21
Phone a friend.
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.