Questionnaire for Neurotic Disorders, NND-Ci Test - the question form
Questions: 138 · 26 minutes
1. Fear that repeatedly occurs when you are on balconies, bridges, at heights, etc.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
2. Feeling sad or depressed.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
3. A feeling of tightness, as if there were a lump in the throat.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
4. A constant feeling of anxiety for no apparent reason.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, of moderate severity
4 – Present and very distressing
5. Frequent crying.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
6. Feeling tired or weak on waking in the morning, improving over the course of the day.
1 – Not present
2 – Present, but only mildly distressing
3 – Present, of moderate severity
4 – Present and very distressing
7. Dissatisfaction with your sex life.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderate severity
4 – Present and bothered me a great deal
8. Feeling as if familiar things have become strange or unfamiliar.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
9. Vomiting in situations of nervous tension.
1 – Not at all
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present and bothered me a great deal
10. Feeling unwell in crowded places.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
11. Itchy skin; a rash that appears and disappears quickly.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
12. Repeated checking that interfered with daily life (e.g., whether the door was locked, the gas was turned off, etc.)
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
13. Muscle cramps or spasms that occur only during specific activities (e.g., cramping in the fingers when writing or playing a musical instrument)
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
14. Dizziness.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
15. Lack of independence.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
16. Distressing inner tension.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me a great deal
17. Noticing signs of various serious illnesses in yourself.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
18. Intrusive, persistent thoughts, words, or images that keep coming to mind and interfere with you.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
19. Disturbing dreams or nightmares.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
20. Rapid, pounding heartbeat not caused by physical exertion.
1 – Not present
2 – Present, but only slightly distressing
3 – Present with moderate severity
4 – Present and very distressing
21. Fear or other unpleasant feelings that repeatedly occur when you are alone (for example, in an empty apartment).
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present, and very distressing
22. Strong feelings of guilt or self-blame.
1 – Not at all
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
23. Loss of skin sensation in any part of the body.
1 – Not at all
2 – Yes, but it was only slightly distressing
3 – Yes, it was moderately severe
4 – Yes, and it was very distressing
24. Overwhelming, unexplained fear that makes it impossible to do anything.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me very much
25. Intense, persistent distress about unpleasant events.
1 – Not at all
2 – Yes, but only slightly distressing
3 – Yes, moderately distressing
4 – Yes, and it was very distressing
26. Memory problems.
1 – Not at all
2 – Mildly
3 – Moderately
4 – Severely
27. Difficulties in sexual functioning (e.g., erectile difficulties, premature ejaculation in men; muscle spasms in women, etc.).
1 – Not present
2 – Present, but only mildly bothersome
3 – Present, moderately severe
4 – Present, and very bothersome
28. Feeling as if the world around you is hidden in a fog.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderately severe
4 – Present and very distressing
29. Headaches that interfere with being able to do things.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
30. Distressing feelings of loneliness.
1 – Not at all
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present, and very distressing
31. Abdominal bloating, involuntary passing of gas.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present, and very distressing
32. Repeatedly doing the same unnecessary or meaningless actions over and over.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
33. Stuttering.
1 – Not present
2 – Was present, but was only mildly distressing
3 – Was of moderate severity
4 – Was present and very distressing
34. Feeling of blood rushing to the head.
1 – Not at all
2 – Present, but only slightly bothersome
3 – Present, moderately severe
4 – Present and very bothersome
35. Lack of self-confidence that interfered with daily life.
1 – Not at all
2 – Yes, but only slightly distressing
3 – Yes, moderately distressing
4 – Yes, and it was very distressing
36. Difficulty concentrating that interfered with daily activities.
1 – Not at all
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present, and bothered me a great deal
37. Time-consuming actions and routines (rituals) intended to prevent becoming ill.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, of moderate severity
4 – Present, and bothered me very much
38. Persistent struggle with intrusive recurring thoughts about wanting to harm, insult, or otherwise hurt someone.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderately
4 – Severe and very distressing
39. Difficulty falling asleep.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
40. Pain in the heart area.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me greatly
41. Fear that repeatedly occurs while riding in moving transportation.
1 – Not present
2 – Present, but bothered me only slightly
3 – Of moderate severity
4 – Present and bothered me very much
42. Loss of confidence in your own abilities.
1 – Not at all
2 – Yes, but it bothered me only slightly
3 – Yes, moderately
4 – Yes, and it bothered me very much
43. Brief episodes of paralysis or inability to move your arms or legs.
1 – Not present
2 – Present, but only mildly distressing
3 – Moderately severe
4 – Present and very distressing
44. Panic attacks.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
45. Proneness to intense, deep emotional distress.
1 – Not at all
2 – Yes, but it troubled me only slightly
3 – Yes, it was of moderate severity
4 – Yes, and it troubled me very much
46. Feeling as if your thinking is significantly slowed or less clear than usual.
1 – Not at all
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me a great deal
47. Lack of desire to have sexual contact with people of the opposite sex.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderately severe
4 – Present and very distressing
48. Feeling as though the world around you is unreal.
1 – Not present
2 – Present, but bothered me only slightly
3 – Moderate
4 – Present and bothered me a great deal
49. Dry mouth.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
50. Avoiding people, even close acquaintances.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderately severe
4 – Present and very distressing
51. Fainting spells.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
52. An uncontrollable inner urge to perform unnecessary repetitive actions (e.g., repeatedly washing hands, touching things).
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
53. Sudden, involuntary movements (tics).
1 – Not present
2 – Present, but only mildly distressing
3 – Present, moderately severe
4 – Present, and very distressing
54. Loss of appetite.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, of moderate severity
4 – Present, and bothered me very much
55. Feelings of helplessness or inability to cope with everyday life.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, of moderate severity
4 – Present and bothered me a great deal
56. Nervousness and restless, uncoordinated movements that reduce the effectiveness of your actions.
1 – Not present
2 – Present but only slightly distressing
3 – Moderate severity
4 – Present and very distressing
57. Constantly focusing attention on bodily functions (e.g., heart function, pulse, digestion, etc.)
1 – Not present
2 – Present, but only slightly distressing
3 – Present and moderately severe
4 – Present and very distressing
58. Unwanted intrusive thoughts of an obscene or blasphemous nature.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate severity
4 – Present and very distressing
59. Episodes of intense hunger (e.g., needing to eat at night).
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me a great deal
60. Feelings of warmth and/or chills for no apparent reason.
1 – No
2 – Yes, but it bothered me only slightly
3 – Yes, moderately
4 – Yes, and it bothered me very much
61. Fear that occurs whenever you are in an open space (e.g., a large square).
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
62. Thoughts of ending your life.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me very much
63. Intermittent problems with vision and hearing.
1 – Not at all
2 – Present, but only slightly bothersome
3 – Moderate
4 – Present and very distressing
64. Anxiety.
1 – Not present
2 – It was present but only slightly distressing
3 – It was of moderate severity
4 – It was present and very distressing
65. Unable to control your emotions, regardless of the consequences.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
66. Difficulty concentrating or staying focused.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present, and very distressing
67. Marked decrease or loss of sexual desire.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderately severe
4 – Present and very distressing
68. Feeling detached from your own body.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
69. Diarrhea.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
70. Feelings of shame and self-consciousness in the presence of people of the opposite sex.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
71. Fear and/or other unpleasant feelings occurring only while in enclosed spaces.
1 – Not present
2 – Present, but only mildly distressing
3 – Moderate
4 – Severe and very distressing
72. Slowed movements and thinking; apathy.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
73. Sudden episodes of being unable to speak (loss of voice) that come and go.
1 – Not at all
2 – Present, but only mildly distressing
3 – Present, of moderate severity
4 – Present, and very distressing
74. Constipation.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate in severity
4 – Present and very distressing
75. Feeling that you are worse than other people.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present and bothered me very much
76. Breaking, hitting, or destroying objects out of anger or when feeling tense or agitated.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present and bothered me a great deal
77. Worry about your health (fear of developing a serious illness).
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
78. Persistent, intrusive, unnecessary counting (for example, passersby, streetlights, cars).
1 – Not present
2 – Present, but only slightly distressing
3 – Present, of moderate severity
4 – Present, and very distressing
79. Waking up frequently during the night.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present, and bothered me very much
80. Blushing or redness of the face, neck, or chest.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
81. Feeling fear when in a crowd.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderately severe
4 – Present and very distressing
82. Pessimism; a sense that failures and setbacks are likely in the future.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present and bothered me a great deal
83. Feeling unwell in difficult or unpleasant situations.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
84. An unfounded sense of danger or threat.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
85. Sudden intense feelings of joy, happiness, or euphoria.
1 – Not at all
2 – Yes, but only slightly distressing
3 – Yes, moderately distressing
4 – Yes, and it was very distressing
86. A constant feeling of tiredness.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
87. Distressing feelings related to masturbation.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
88. Feeling as if you are living in a dream.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, of moderate severity
4 – Present, and bothered me very much
89. Trembling in the muscles of the arms, legs, or the whole body.
1 – It was not present
2 – It was present but only mildly distressing
3 – It was moderately severe
4 – It was present and very distressing
90. Feeling that you are easily influenced by other people.
1 – Not at all
2 – Yes, but only slightly distressing
3 – Yes, moderately distressing
4 – Yes, and it was very distressing
91. Allergic symptoms (hay fever, rapidly appearing and subsiding swelling, etc.).
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderate severity
4 – Present, and bothered me very much
92. An inner urge to do things very slowly and meticulously.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present, and bothered me very much
93. Muscle cramps in various parts of the body.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
94. Excessive saliva in the mouth.
Not present
Present, but only slightly distressing
Moderate
Present and very distressing
95. Daydreaming while awake.
1 – Not at all
2 – Present, but only slightly distressing
3 – Moderate
4 – Present, and very distressing
96. Uncontrollable outbursts of anger or rage.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
97. Feeling that you have a serious, life-threatening illness.
1 – No
2 – Yes, but it bothered me only slightly
3 – Yes, to a moderate degree
4 – Yes, and it bothered me very much
98. Excessive thirst.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
99. Insomnia.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
100. Strong sensations of feeling cold and/or hot occurring without any apparent reason.
1 – Not at all
2 – Present, but bothered me only slightly
3 – Present, and bothered me moderately
4 – Present, and bothered me a great deal
101. Intense fear of objects, animals, or places that there is no reason to be afraid of.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
102. Lack of strength or energy for any activity.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
103. Breathing difficulties (e.g., feeling short of breath or "unable to get enough air" that come on suddenly and pass quickly).
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
104. Feeling anxious or worried in anticipation of certain events or meetings, etc.
Not at all
Present, but only slightly bothersome
Moderate
Present and very distressing
105. Feeling that you are not appreciated enough.
1 – Not at all
2 – Mildly distressing
3 – Moderate
4 – Severe and very distressing
106. Slowed thinking; difficulty concentrating.
1 – Not at all
2 – Yes, but it bothered me only slightly
3 – Yes, it was moderately severe
4 – Yes, and it bothered me very much
107. Pain or other unpleasant sensations in the genital area.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
108. A sense that you have already seen something that you are actually seeing for the first time.
1 – Not at all
2 – Yes, but it bothered me only slightly
3 – Yes, moderately
4 – Yes, and it bothered me very much
109. Unpleasant sensations or pain triggered by noise, bright light, light touch, or similar stimuli.
1 – Not present
2 – Present, but bothered me only slightly
3 – Moderate
4 – Present and bothered me very much
110. Feeling that people are hostile toward you.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
111. Involuntary urination (for example, during sleep).
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
112. Alcohol misuse.
1 – Not present
2 – Present, but only mildly distressing
3 – Present, moderate severity
4 – Present and very distressing
113. Involuntary trembling of the eyelids, face, head, or other parts of the body.
1 – Not present
2 – Present, but only slightly bothersome
3 – Moderate
4 – Present and very bothersome
114. Unpleasant sweating during moments of anxiety.
1 – It was not present
2 – It was present, but only bothered me slightly
3 – It was present to a moderate degree
4 – It was present and bothered me a great deal
115. Feeling that you submit to (give in to) other people.
1 – It was not present
2 – It was present, but bothered me only slightly
3 – It was of moderate severity
4 – It was present and bothered me a great deal
116. Persistent feelings of anger or rage.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate
4 – Present, and very distressing
117. Vague, wandering pains.
1 – Not present
2 – Present, but only mildly distressing
3 – Present, of moderate severity
4 – Present and very distressing
118. Feelings of protest or rebellion.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
119. Daytime sleepiness that is difficult to overcome and makes you fall asleep briefly at times, regardless of the circumstances.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, of moderate severity
4 – Present and very distressing
120. Feeling of blood rushing to the head.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present and bothered me very much
121. Worry about loved ones when, in fact, nothing is threatening them.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
122. Feeling that you are worse than other people.
1 – Not at all
2 – Present, but bothered me only slightly
3 – Present to a moderate degree
4 – Present and bothered me very much
123. Problems with balance.
1 – Not at all
2 – Present, but only slightly bothersome
3 – Moderately
4 – Very much
124. Fear that something might happen to you, or that you might do something terrible to yourself (e.g., jump out of a window), or that some kind of catastrophe might occur.
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderate severity
4 – Present and bothered me a great deal
125. Feeling that people around you are not interested in you or what you do.
1 – Not present
2 – Present, but only bothered me slightly
3 – Present, of moderate severity
4 – Present and bothered me very much
126. Racing thoughts.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Severe and very distressing
127. For women only: Menstrual irregularities.
1 – Not present
2 – Present, but only slightly bothersome
3 – Present, of moderate severity
4 – Present and very bothersome
128. Feeling emotionally flat or numb (your feelings seem less intense).
1 – Not present
2 – Present, but bothered me only slightly
3 – Present, moderately severe
4 – Present and bothered me very much
129. Muscle tension.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
130. Need to be alone.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
131. Burning in the esophagus, heartburn.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
132. Frequent urination.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately distressing
4 – Present and very distressing
133. Spasms that make you constantly turn your head.
1 – Not at all
2 – Yes, but it was only slightly distressing
3 – Yes, moderately severe
4 – Yes, and it was very distressing
134. Muscle aches or pains (e.g., lower back pain, chest pain).
1 – Not at all
2 – Present but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
135. Ringing in the ears.
1 – Not present
2 – Present but only slightly distressing
3 – Present, moderate severity
4 – Present and very distressing
136. Nausea or feeling faint.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing
137. Reduced sexual potency.
1 – Not present
2 – Present, but only slightly distressing
3 – Moderate
4 – Present and very distressing
138. A feeling that you have already been in a place or situation that you are actually experiencing for the first time.
1 – Not present
2 – Present, but only slightly distressing
3 – Present, moderately severe
4 – Present and very distressing