Blank Adaptation Test - the question form

Questions: 60 · 11 minutes
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Male form
Female form
1. I find it difficult to keep a conversation going with new people.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
2. I have difficulty finding something to talk about.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
3. I find it difficult to speak or present in front of an audience.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
4. I feel that no one understands me.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
5. I lack patience when interacting with other people.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
6. Even when I am with other people, I feel lonely.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
7. When I am visiting others, I often keep to myself.
1 – Not at all
2 – No
3 – Probably not
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
8. A language barrier interferes with my communication.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
9. I find it difficult to understand people from other ethnic or cultural groups.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
10. Some ethnic stereotypes interfere with my learning.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
11. I have little self-confidence.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
12. I usually feel wary of anything new and unexpected.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
13. Difficult tasks make me feel panicked.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
14. I am easily confused.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
15. In a new environment, I always feel uncertain.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
16. I often have the feeling that I have done something wrong.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
17. At times, I feel that I am not good for anything.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
18. The future seems hopeless to me.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
19. I often have thoughts that I am just a failure.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
20. I often get into trouble because of my insecure behavior.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
21. I often feel depressed.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
22. I am often irritable.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
23. I am constantly troubled by thoughts and worries.
1 – Not at all
2 – No
3 – Probably not
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
24. I am constantly worried about something.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
25. I often feel anxious.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
26. I often feel anxious.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
27. I often feel shy and embarrassed.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
28. I am fairly easily irritated.
1 – Not at all
2 – No
3 – Probably not
4 – Neither
5 – Probably yes
6 – Yes
7 – Definitely yes
29. I often have a feeling that something is going to go wrong.
1 – Not at all
2 – No
3 – Probably not
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
30. I often feel angry and resentful.
1 – Not at all
2 – No
3 – Probably no
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
31. I show little warmth in my relationships with other people.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
32. Under certain circumstances, I would be willing to return to my home country.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
33. In my home country, I was an independent person.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
34. I often think about my family and loved ones.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
35. I miss my home.
1 – Not at all
2 – No
3 – Probably not
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
36. Sometimes I think about returning to my home country.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
37. I like to think back about the past.
1 - Not at all
2 - No
3 - Probably not
4 - Neither agree nor disagree
5 - Probably yes
6 - Yes
7 - Definitely yes
38. At times, I miss the natural environment of my home country.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
39. I follow what is happening in my country with interest.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
40. I often feel nostalgic.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
41. Russian nature feels unfamiliar to me.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
42. I mostly interact with people from my home region.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
43. I have few close relationships with Russian people.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
44. I rarely accept other people’s standards of behavior.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
45. I often regret that my friends remained in my home country.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
46. I believe it is better not to trust anyone.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
47. I rarely seek advice from other people.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
48. At times, I feel a dislike for what is around me.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
49. I sometimes feel a desire to return home as soon as possible.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
50. At times, I feel socially detached.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
51. I try to organize my daily life based on new requirements and rules.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
52. I am constantly revising my views about my new life.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
53. I believe I need to be more assertive to adapt to new living conditions.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
54. I am confident that I can overcome difficulties related to new circumstances and changes.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
55. I try to anticipate upcoming events.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
56. I adjust to interacting with people from different cultures.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
57. I often think about how best to adapt to new circumstances.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
58. My self-confidence is the key to success in everything.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
59. I think it is important to be tolerant of new things and to find something useful in them for myself.
1 - Not at all
2 - No
3 - Probably no
4 - Neutral
5 - Probably yes
6 - Yes
7 - Definitely yes
60. I believe that personal initiative is necessary for adaptation to be successful.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
1. I find it difficult to keep a conversation going with new people.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
2. I have difficulty finding something to talk about.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
3. I find it difficult to speak or give a presentation in front of an audience.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
4. I feel that no one understands me.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
5. I lack patience when interacting with other people.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
6. Even when I am with other people, I feel lonely.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
7. When I am visiting others, I often stay on the sidelines.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
8. A language barrier interferes with my communication.
1 – Not at all
2 – No
3 – Probably not
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
9. I have difficulty understanding people from other ethnic or national groups.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
10. Some ethnic stereotypes interfere with my learning.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
11. I have little self-confidence.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
12. I usually feel wary of anything new or unexpected.
1 – Not at all
2 – No
3 – Probably not
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
13. Difficult tasks make me feel panicked.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
14. I am easily confused.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
15. In a new environment, I always feel uncertain.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
16. I often feel that I have done something wrong.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
17. At times, I feel that I am not good for anything.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
18. The future seems hopeless to me.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
19. I often have thoughts that I am just a failure.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
20. I often get into trouble because of my insecure behavior.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
21. I often feel depressed.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
22. I am often irritable.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
23. I am constantly bothered by anxious thoughts and worries.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
24. I am constantly worrying about something.
1 – Not at all
2 – No
3 – Probably no
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
25. I often feel anxious.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
26. I often feel anxious.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
27. I often feel shy and embarrassed.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
28. I am fairly easily irritated.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
29. I often feel that something is going to go wrong.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
30. I often feel angry and resentful.
1 – Not at all
2 – No
3 – Probably no
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
31. I feel there is little warmth in my relationships with other people.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
32. Under certain circumstances, I would be willing to return to my home country.
1 - Not at all
2 - No
3 - Probably not
4 - Neither yes nor no
5 - Probably yes
6 - Yes
7 - Definitely yes
33. In my home country, I was an independent person.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
34. I often think about my family and loved ones.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
35. I miss home.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
36. Sometimes I think about returning to my home country.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
37. I like to think about the past.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
38. At times, I miss the natural environment of my home country.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
39. I follow what is happening in my country with interest.
1 – Not at all
2 – No
3 – Probably no
4 – Somewhere in between
5 – Probably yes
6 – Yes
7 – Definitely yes
40. I often feel nostalgic.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
41. Russian natural landscapes feel unfamiliar to me.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
42. I interact more often with people from my home region.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
43. I have few close relationships with Russian people.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
44. I rarely accept other people's standards of behavior.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
45. I often regret that my friends stayed in my home country.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
46. I believe it is better not to trust anyone.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
47. I rarely seek advice from other people.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
48. At times, I feel dislike toward what surrounds me.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
49. I sometimes feel a desire to return home as soon as possible.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
50. At times, I feel detached.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
51. I try to organize my life activities in line with new demands and rules.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
52. I am constantly updating my understanding of my new life.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
53. I believe I need to be more assertive to adapt to new living conditions.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
54. I am confident that I can overcome difficulties related to new circumstances and changes.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
55. I try to anticipate upcoming events.
1 – Not at all
2 – No
3 – Probably no
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
56. I can adapt to communicating with people from different cultures.
1 – Not at all
2 – No
3 – Probably not
4 – Neither yes nor no
5 – Probably yes
6 – Yes
7 – Definitely yes
57. I often think about how best to adapt to new circumstances.
1 – Not at all
2 – No
3 – Probably no
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
58. My self-confidence is the key to success in everything.
1 - Not at all
2 - No
3 - Probably no
4 - Neither agree nor disagree
5 - Probably yes
6 - Yes
7 - Definitely yes
59. I think it is important to be tolerant of new things and to find something useful in them for myself.
1 – Not at all
2 – No
3 – Probably not
4 – Neither agree nor disagree
5 – Probably yes
6 – Yes
7 – Definitely yes
60. I believe that personal initiative is needed for adaptation to be successful.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
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