6 : Definitely agree
5 : Somewhat agree
4 : Slightly agree
3 : Not sure
2 : Slightly disagree
1 : Somewhat disagree
0 : Definitely disagree
¹
6
5
4
3
2
1
0
1
I think that I have felt that there are odd or unusual things going on that I can't explain.
2
I have had the experience of doing something differently because of my superstitions.
3
I think that I may get confused at times whether something I experience or perceive may be real or may be just part of my imagination or dreams.
4
I think I might feel like my mind is “playing tricks” on me.
5
I think that I may hear my own thoughts being said out loud.
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.