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alexithymia

Perth Alexithymia Questionnaire (PAQ) Test

Take the online Perth Alexithymia Questionnaire (PAQ) Test - AI psychologist FreudlyYou can take Perth Alexithymia Questionnaire (PAQ) Test here. Online version of a simple and accurate psychological test with interpretation.en
With 24 questions and a five-minute completion time, the Perth Alexithymia Questionnaire (PAQ) Test helps you explore how you identify, understand, and describe positive and negative feelings, as well as how much attention you give your emotions. The result offers a concise profile for self-reflection.
Questions: 245 minutes
Perth Alexithymia Questionnaire (PAQ): situation and reply bubbles
October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published
33,874 views
3,532 completions
2,670 likes
Daniel HallPsychologist · Test reviewer
2,670 likes
Scale Explorer

How the Scales are Structured

Overall AlexithymiaOA
Measures overall difficulty identifying, evaluating, and expressing both negative and positive emotions.
example score129/168
129/168Higher alexithymiaexample score
24 – 71Lower alexithymia
72 – 119Moderate alexithymia
120 – 168Higher alexithymia
A score of 129 falls in the Higher alexithymia range, indicating pronounced difficulty attending to, making sense of, and putting words to emotional experiences.
Negative-Difficulty Identifying Feelings (N-DIF)NDIFD
Measures how difficult it is to identify, understand, and distinguish your own negative emotions.
example score10/56
10/56Low difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 10 suggests low difficulty identifying and differentiating negative feelings, with generally clear awareness of negative emotional states.
Positive Difficulty Identifying Feelings (P-DIF)PDIFD
Measures how difficult it is to identify, understand, and differentiate your own positive emotions.
example score30/56
30/56Moderate difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 30 indicates a moderate level of difficulty recognizing and clearly distinguishing positive feelings.
Negative-Difficulty Describing Feelings (N-DDF)NDDFD
Measures difficulty describing and verbally expressing one’s own negative emotions.
example score28/56
28/56Moderate difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 28 falls in the Moderate difficulty range, suggesting some challenges putting negative feelings into words while still being able to describe them at times.
Positive Difficulty Describing Feelings (P-DDF)PDDFD
Measures how difficult it is for a person to describe and communicate their own positive emotions in words.
example score28/56
28/56Moderate difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 28 indicates a moderate level of difficulty putting positive feelings into words and conveying them clearly.
Externally Oriented Thinking (G-EOT)EOTE
Measures the tendency to focus attention away from one’s own emotions and toward external events or practical details.
example score16/56
16/56Low externally-oriented thinkingexample score
8 – 23Low externally-oriented thinking
24 – 39Moderate externally-oriented thinking
40 – 56High externally-oriented thinking
A score of 16 falls in the low range, suggesting you are relatively likely to notice and reflect on your emotions rather than consistently focusing outward.
Difficulty Identifying Feelings (G-DIF)DIFD
Measures how difficult it is to identify, understand, and differentiate your own emotions (both negative and positive).
example score40/56
40/56Highexample score
0 – 18Low
19 – 37Moderate
38 – 56High
A score of 40 falls in the High range, suggesting pronounced difficulty recognizing and distinguishing your feelings across positive and negative emotions.
Difficulty Describing Feelings (G-DDF)DDFD
Assesses how difficult it is to put one’s emotions into words, for both negative and positive feelings.
example score35/56
35/56Moderate difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 35 falls in the Moderate difficulty range, suggesting noticeable but not extreme challenges describing and expressing emotions in words.
Negative Difficulty Appraising Feelings (N-DAF)NDAFD
Measures how difficult it is to identify and describe your own negative emotions.
example score22/56
22/56Moderate difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 22 falls in the Moderate difficulty range, suggesting some challenges recognizing and putting negative feelings into words.
Positive Difficulty Appraising Feelings (P-DAF)PDAFD
Assesses how difficult it is to identify and describe one’s own positive emotions.
example score49/56
49/56High difficultyexample score
0 – 18Low difficulty
19 – 37Moderate difficulty
38 – 56High difficulty
A score of 49 falls in the High difficulty range, suggesting notable challenges recognizing and putting positive feelings into words.
Difficulty Appraising Feelings (G-DAF)DAFD
Assesses overall difficulty identifying and describing both negative and positive feelings.
example score52/112
52/112Moderate difficultyexample score
16 – 47Low difficulty
48 – 79Moderate difficulty
80 – 112High difficulty
A score of 52 falls in the Moderate difficulty range, suggesting noticeable but not severe challenges recognizing and expressing feelings overall.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

People who feel emotionally stuck
41%OF USERS
They often sense something is wrong but struggle to name or explain what they feel, especially under stress.
Therapy and counseling clients
34%OF USERS
They take it to clarify patterns in identifying and describing emotions so treatment goals can be more targeted.
Students and research participants
25%OF USERS
They complete it as part of a study or screening to measure emotional awareness for both positive and negative feelings.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
Overall Level of AlexithymiaOLoA
You?
Average127.3
Typical rangeTypical108 – 146.6
Possible24 – 168
Identification of Negative Feelings (N-DIF)
You?
Average26.7
Typical rangeTypical17.7 – 35.7
Possible0 – 56
Identification of Positive Feelings (P-DIF)
You?
Average31.6
Typical rangeTypical24.1 – 39
Possible0 – 56
Description of Negative Feelings (N-DDF)
You?
Average23.8
Typical rangeTypical13.7 – 33.9
Possible0 – 56
Description of Positive Feelings (P-DDF)
You?
Average36.9
Typical rangeTypical29 – 44.8
Possible0 – 56
Externally-Oriented Thinking (G-EOT)
You?
Average37.5
Typical rangeTypical31.6 – 43.3
Possible8 – 56
Difficulties with Identification (G-DIF)
You?
Average32.4
Typical rangeTypical23.4 – 41.5
Possible0 – 56
Difficulties with Description (G-DDF)
You?
Average26
Typical rangeTypical15.5 – 36.4
Possible0 – 56
Assessment of Negative Feelings (N-DAF)
You?
Average33.1
Typical rangeTypical24.8 – 41.4
Possible0 – 56
Assessment of Positive Feelings (P-DAF)
You?
Average38.9
Typical rangeTypical31.7 – 46.1
Possible0 – 56
Assessment of All Feelings (G-DAF)
You?
Average66
Typical rangeTypical48.5 – 83.4
Possible16 – 112
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SAMPLE QUESTIONS

Example Questions From the Test

This questionnaire is designed to assess how emotions are perceived and experienced. Please rate the following statements according to the extent to which you agree or disagree that each statement is true for you. Some statements refer to negative or unpleasant emotions, such as sadness, anger, or fear. Other statements refer to positive or pleasant emotions, such as happiness, amusement, or joyful excitement.
    • Strongly disagree
    • ...
    • ...
    • Neither agree nor disagree
    • ...
    • ...
    • Strongly agree
    • Strongly disagree
    • ...
    • ...
    • Neither agree nor disagree
    • ...
    • ...
    • Strongly agree
    • Strongly disagree
    • ...
    • ...
    • Neither agree nor disagree
    • ...
    • ...
    • Strongly agree
WHAT THE TEST MEASURES

Perth Alexithymia Questionnaire (PAQ) Test - Description and methodology of the test

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People who often struggle to recognize, interpret, or put feelings into words can use the Perth Alexithymia Questionnaire (PAQ) Test to examine these patterns more closely. It suits anyone seeking a structured alexithymia test for self-reflection, especially when emotional attention seems difficult to sustain. The result separates difficulties with pleasant and unpleasant emotions instead of reducing them to one label.

What This Assessment Explores

This alexithymia questionnaire examines attention, identification, appraisal, and description of positive and negative feelings. Its profile separates overall, positive, negative, and general difficulties. Scales include:

  • Overall Alexithymia (24-168) reflects overall difficulty: Lower alexithymia 24-71, Moderate alexithymia 72-119, Higher alexithymia 120-168.
  • Identification scales measure difficulty recognizing feelings: Negative-Difficulty Identifying Feelings (N-DIF), Positive Difficulty Identifying Feelings (P-DIF), and Difficulty Identifying Feelings (G-DIF) each span 0-56: Low difficulty 0-18, Moderate difficulty 19-37, High difficulty 38-56.
  • Appraisal scales measure difficulty recognizing and expressing feelings: Negative Difficulty Appraising Feelings (N-DAF) and Positive Difficulty Appraising Feelings (P-DAF) span 0-56; Difficulty Appraising Feelings (G-DAF) spans 16-112: Low difficulty 0-18/16-47, Moderate difficulty 19-37/48-79, High difficulty 38-56/80-112.
  • Externally Oriented Thinking (G-EOT) reflects less focus on emotion and spans 8-56: Low externally-oriented thinking 8-23, Moderate externally-oriented thinking 24-39, High externally-oriented thinking 40-56.

Methodology and Scientific Basis

Each statement uses a seven-point agreement scale from strongly disagree to strongly agree, capturing degrees of endorsement rather than yes-or-no answers. The items pair pleasant and unpleasant feelings with identifying, describing, understanding, and attending to them.

Responses are combined into facet and general indices. Higher values indicate greater alexithymia or difficulty on identification, description, or appraisal dimensions, while higher scores on the attention dimension reflect less focus on inner emotion. The displayed bands organize this alexithymia assessment into low, moderate, or high ranges for the questionnaire.

The online measure is conceptually consistent with the Perth Alexithymia Questionnaire (Preece et al., 2018) and the attention-appraisal model described by Preece et al. (2017), but it is not presented as an adaptation of that published instrument. Preece et al. (2020) provide evidence about PAQ psychometric properties and compare it with the 20-item Toronto Alexithymia Scale. This supports the published framework rather than establishing independent norms for every online presentation.

Self-report can be influenced by current context, self-awareness, and willingness to endorse statements, so the result is a snapshot rather than a diagnosis.

Author: David Preece, Graeme J. Taylor, James N. D. Parker
Literature:
  • Preece, D., Becerra, R., Robinson, K., Dandy, J., & Allan, A. (2018). The psychometric assessment of alexithymia: Development and validation of the Perth Alexithymia Questionnaire. Personality and Individual Differences, 132, 32-44. 10.1016/j.paid.2018.05.011
  • Preece, D. A., Becerra, R., Allan, A., Robinson, K., Chen, W., Hasking, P., & Gross, J. J. (2020). Assessing alexithymia: Psychometric properties of the Perth Alexithymia Questionnaire and 20-item Toronto Alexithymia Scale in United States adults. Personality and Individual Differences, 166, 110138. 10.1016/j.paid.2020.110138
  • Preece, D., Becerra, R., Allan, A., Robinson, K., & Dandy, J. (2017). Establishing the theoretical components of alexithymia via factor analysis: Introduction and validation of the attention-appraisal model of alexithymia. Personality and Individual Differences, 119, 341-352. 10.1016/j.paid.2017.08.003

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