¹
Yes
No
1
I never feel as if I belong.
2
I am afraid of going crazy.
3
I want to hurt myself.
4
I am afraid to form a close personal relationship.
5
People who seem great at first often turn out to disappoint me.
6
People disappoint me.
7
I feel as if I can't cope with life.
8
It seems a long time since I felt happy.
9
I feel empty inside.
10
I feel my life is out of control.
11
I feel lonesome most of the time.
12
I turned out to be a different kind of person than I wanted to be.
13
I am afraid of anything new.
14
I have trouble remembering things.
15
It's hard for me to make decisions.
16
I feel there is a wall around me.
17
I get puzzled as to who I am.
18
I am afraid of the future.
19
Sometimes I feel I'm falling apart.
20
I worry that I will faint in public.
21
I never accomplish as much as I could.
22
I feel as if I were watching myself play a role.
23
My family would be better off without me.
24
I am beginning to think that I'm losing out everywhere.
25
I can't tell what I will do next.
26
When I get into a relationship, I feel trapped.
27
No one loves me.
28
I can't tell the difference between what has really happened and what I have imagined.
29
People treat me like “a thing.”
30
Sometimes strange thoughts come into my head, and I can't get rid of them.
31
I feel life is hopeless.
32
I have no respect for myself.
33
I seem to live in a fog.
34
I am a failure.
35
It scares me to take responsibility for anyone.
36
I do not feel needed.
37
I don't have any real friends.
38
I feel that I can't run my own life.
39
I feel uneasy in crowds, such as when I'm shopping or at a movie.
40
I have trouble making friends.
41
It's too late to try to be somebody.
42
It's hard for me just to sit still and relax.
43
I feel as if other people can read me like an open book.
44
I feel as if something is about to happen.
45
I am bothered by murderous ideas.
46
I don't feel sure of my masculinity (femininity).
47
I have trouble keeping friends.
48
I hate myself.
49
I often have sex with persons I don't care for.
50
I feel afraid in open spaces or on the streets.
51
I sometimes keep talking to convince myself that I exist.
52
Sometimes I am not myself.