Family Anxiety Analysis, ACT Test - the question form
Questions: 21 · 3 minutes
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1. I know that members of my family are often dissatisfied with me.
Yes
No
Don't know
2. I feel that no matter what I do, it will still be wrong.
Yes
No
Don't know
3. I do not get as much done as I need to.
Yes
No
Don't know
4. It turns out that I am most often to blame for everything that happens in our family.
Yes
No
Don't know
5. I often feel helpless.
Yes
No
Don't know
6. At home, I often feel nervous.
Yes
No
Don't know
7. When I get home, I feel awkward and self-conscious.
Yes
No
Don't know
8. Some family members think I am incompetent.
Yes
No
Don't know
9. When I am at home, I am constantly worried about something.
Yes
No
Don't know
10. I often feel that my family members look at me critically.
Yes
No
Don't know
11. When I go home, I anxiously wonder what may have happened while I was away.
Yes
No
Don't know
12. At home, I constantly feel that there is still a lot I need to do.
Yes
No
Don't know
13. I often feel like I do not belong at home.
Yes
No
Don't know
14. At home, things are such that I feel like giving up.
Yes
No
Don't know
15. At home, I constantly have to hold myself back.
Yes
No
Don't know
16. I feel that if I suddenly disappeared, no one would notice.
Yes
No
Don't know
17. When you go home, you expect to do one thing, but usually end up having to do something completely different.
Yes
No
Don't know
18. When I think about family matters, I start to worry.
Yes
No
Don’t know
19. Some members of my family feel embarrassed because of me in front of friends or acquaintances.
Yes
No
Don't know
20. It often happens that I want to do well, but it turns out badly.
Yes
No
Don't know
21. There are many things in my family that I do not like, but I try not to show it.
Yes
No
Don't know
1. I know that my family members are often dissatisfied with me.
Yes
No
Don't know
2. I feel that no matter what I do, it will still be wrong.
Yes
No
Don't know
3. I do not manage to get much done.
Yes
No
Don't know
4. It often turns out that I am the one most often blamed for everything that happens in our family.
Yes
No
Don't know
5. I often feel helpless.
Yes
No
Don't know
6. At home, I often feel nervous.
Yes
No
Don't know
7. When I get home, I feel clumsy and awkward.
Yes
No
Don't know
8. Some family members think I am incompetent.
Yes
No
Don't know
9. When I am at home, I am constantly worried about something.
Yes
No
Don't know
10. I often feel that my family members are looking at me critically.
Yes
No
Don't know
11. When I am going home, I feel anxious thinking about what else may have happened while I was away.
Yes
No
Don't know
12. At home, I constantly feel that there is still a lot I need to do.
Yes
No
Don't know
13. I often feel like I do not belong at home.
Yes
No
Don't know
14. At home, things are such that I feel like giving up.
Yes
No
Don't know
15. At home, I constantly have to hold myself back.
Yes
No
Don't know
16. I feel that if I suddenly disappeared, no one would notice.
Yes
No
Don't know
17. When you go home, you plan to do one thing, but usually you end up having to do something completely different.
Yes
No
Don't know
18. When I think about family matters, I start to worry.
Yes
No
Don't know
19. Some members of my family sometimes feel embarrassed because of me in front of friends or acquaintances.
Yes
No
Don't know
20. It often happens that I want to do well, but it turns out badly.
Yes
No
Don't know
21. A lot of things in my family situation bother me, but I try not to show it.
Yes
No
Don't know