Questionnaire on Unhealthy Behavior Test - the question form
Questions: 63 · 12 minutes
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Male form
Female form
1. I may smoke when others are smoking.
1 – Never
2 – Rarely
3 – Often
4 – Always
2. I can drink a bottle or can of beer at the end of the day.
1 - Never
2 - Rarely
3 - Often
4 - Always
3. Even when I gain excess weight, I eat until I feel completely full.
1 – Never
2 – Rarely
3 – Often
4 – Always
4. When something really gets to me, I can upset myself even more by dwelling on it.
1 – Never
2 – Rarely
3 – Often
4 – Always
5. I avoid meeting new people if they seem suspicious to me.
1 – Never
2 – Rarely
3 – Often
4 – Always
6. I may smoke marijuana if it is offered by good friends.
1 - Never
2 - Rarely
3 - Often
4 - Always
7. I drink alcohol to relieve stress.
1 – Never
2 – Rarely
3 – Often
4 – Always
8. I may smoke when I drink alcohol.
1 – Never
2 – Rarely
3 – Often
4 – Always
9. I have complete control over my consumption of sweets.
1 – Never
2 – Rarely
3 – Often
4 – Always
10. When something unpleasant happens to me, I can set aside everything else and focus on solving the problem.
1 – Never
2 – Rarely
3 – Often
4 – Always
11. I can meet someone online and go on a blind date.
1 – Never
2 – Rarely
3 – Often
4 – Always
12. I think that some substances classified as drugs could be allowed for use because they are not dangerous.
1 – Never
2 – Rarely
3 – Often
4 – Always
13. Even if I am told that my weight is normal, I follow strict diets, fast, or use other methods.
1 – Never
2 – Rarely
3 – Often
4 – Always
14. I may smoke if someone offers me a cigarette.
1 – Never
2 – Rarely
3 – Often
4 – Always
15. I can allow myself to drink a lot of strong alcohol in appropriate circumstances.
1 – Never
2 – Rarely
3 – Often
4 – Always
16. Even during meals or gatherings with plenty of appealing food, I can stop and avoid overeating.
1 – Never
2 – Rarely
3 – Often
4 – Always
17. When I develop symptoms of an illness, I may buy medication based on advertising or advice from acquaintances.
1 – Never
2 – Rarely
3 – Often
4 – Always
18. I like to do risky things (e.g., jumping over gaps, sitting on balcony railings, etc.).
1 – Never
2 – Rarely
3 – Often
4 – Always
19. I believe it is acceptable to use certain psychoactive substances to have unusual experiences.
1 – Never
2 – Rarely
3 – Often
4 – Always
20. I snack or chew on something whenever I have the chance.
1 – Never
2 – Rarely
3 – Often
4 – Always
21. I like to try a variety of alcoholic cocktails.
1 – Never
2 – Rarely
3 – Often
4 – Always
22. I may smoke a hookah in an appropriate setting.
1 – Never
2 – Rarely
3 – Often
4 – Always
23. Even if I would prefer to stay out of it, I get drawn into conflict and later regret it.
1 – Never
2 – Rarely
3 – Often
4 – Always
24. I prefer to drive carefully and follow traffic rules.
1 – Never
2 – Rarely
3 – Often
4 – Always
25. I like to try good cigars.
1 – Never
2 – Rarely
3 – Often
4 – Always
26. I like trying rare, expensive alcoholic beverages.
1 – Never
2 – Rarely
3 – Often
4 – Always
27. When I feel upset or nervous, I eat, and it calms me down.
1 – Never
2 – Rarely
3 – Often
4 – Always
28. At holidays, parties, or in clubs, I do not like to dance.
1 – Never
2 – Rarely
3 – Often
4 – Always
29. In stressful situations, I can make myself relax.
1 - Never
2 - Rarely
3 - Often
4 - Always
30. Since childhood, I have been under the care of many doctors and have to follow their recommendations on an ongoing basis.
1 – Never
2 – Rarely
3 – Often
4 – Always
31. When driving a car, I wear a seat belt.
1 – Never
2 – Rarely
3 – Often
4 – Always
32. I can be tempted to smoke unusual, rare cigarettes.
1 – Never
2 – Rarely
3 – Often
4 – Always
33. I enjoy tasting different wines.
1 – Never
2 – Rarely
3 – Often
4 – Always
34. I may eat "for company" even when I am not hungry.
1 – Never
2 – Rarely
3 – Often
4 – Always
35. I am able to pace myself in my studies or work and avoid overexerting myself.
1 – Never
2 – Rarely
3 – Often
4 – Always
36. I cross the road where it is convenient for me rather than at a designated crossing.
1 – Never
2 – Rarely
3 – Often
4 – Always
37. I stay out late visiting others or at work, and then return home alone after dark.
1 – Never
2 – Rarely
3 – Often
4 – Always
38. I may smoke when I feel nervous.
1 – Never
2 – Rarely
3 – Often
4 – Always
39. I can easily refuse when I am offered an alcoholic drink in a social setting.
1 – Never
2 – Rarely
3 – Often
4 – Always
40. If I feel like it, I eat unhealthy foods (e.g., chips, hamburgers).
1 – Never
2 – Rarely
3 – Often
4 – Always
41. I can get confused in my relationships with other people and then spend a long time trying to sort them out.
1 – Never
2 – Rarely
3 – Often
4 – Always
42. Sometimes I cannot stop and keep eating even when I feel full.
1 – Never
2 – Rarely
3 – Often
4 – Always
43. I have enough self-discipline to complete a long course of treatment.
1 – Never
2 – Rarely
3 – Often
4 – Always
44. If I need to, I can use an electrical appliance even if it is unsafe (e.g., exposed wires, a burning smell).
1 – Never
2 – Rarely
3 – Often
4 – Always
45. I try not to restrict myself in any way, because life is short.
1 – Never
2 – Rarely
3 – Often
4 – Always
46. I like to experiment with and set off new firecrackers and fireworks.
1 – Never
2 – Rarely
3 – Often
4 – Always
47. If I were given a pipe and tobacco, I would not be able to resist smoking.
1 – Never
2 – Rarely
3 – Often
4 – Always
48. I allow myself to have a low-alcohol drink (“long drink”) whenever I want.
1 – Never
2 – Rarely
3 – Often
4 – Always
49. I like to eat while watching television, working on the computer, or reading.
1 - Never
2 - Rarely
3 - Often
4 - Always
50. When problems build up, I feel listless and helpless.
1 – Never
2 – Rarely
3 – Often
4 – Always
51. I may have sex even if I do not have contraception available.
1 – Never
2 – Rarely
3 – Often
4 – Always
52. I smoke cigarettes with reduced tar and nicotine.
1 – Never
2 – Rarely
3 – Often
4 – Always
53. I take vitamins or dietary supplements, do detox cleanses, or undergo other procedures without a doctor’s recommendation.
1 – Never
2 – Rarely
3 – Often
4 – Always
54. I may smoke in a pleasant setting (e.g., at a cafe, outdoors, or on a balcony).
1 – Never
2 – Rarely
3 – Often
4 – Always
55. I drink alcohol to improve my mood.
1 – Never
2 – Rarely
3 – Often
4 – Always
56. I eat only healthy, diet foods in line with the latest scientific findings.
1 – Never
2 – Rarely
3 – Often
4 – Always
57. I prefer to exercise only under comfortable conditions.
1 - Never
2 - Rarely
3 - Often
4 - Always
58. I can swim far from shore or when a storm is starting.
1 – Never
2 – Rarely
3 – Often
4 – Always
59. I enjoy skating or walking on ice, even if it is thin.
1 – Never
2 – Rarely
3 – Often
4 – Always
60. I enjoy drinking alcohol with good food.
1 – Never
2 – Rarely
3 – Often
4 – Always
61. In situations of despair, I stop taking care of myself.
1 – Never
2 – Rarely
3 – Often
4 – Always
62. To avoid taking a longer route, I may take a shortcut through a vacant lot, a dark alley, a wooded area, etc.
1 – Never
2 – Rarely
3 – Often
4 – Always
63. I try to have a tanned-looking skin tone and, for this purpose, I use tanning beds or sunbathe at the beach.
1 - Never
2 - Rarely
3 - Often
4 - Always
1. I may smoke when others are smoking (for company).
1 – Never
2 – Rarely
3 – Often
4 – Always
2. I can drink a bottle or can of beer at the end of the day.
Never
Rarely
Often
Always
3. Even when I gain excess weight, I eat until I feel completely full.
1 – Never
2 – Rarely
3 – Often
4 – Always
4. When something really upsets me, I can make myself feel even more upset by dwelling on it.
1 – Never
2 – Rarely
3 – Often
4 – Always
5. I avoid getting acquainted with new people if they seem suspicious to me.
1 – Never
2 – Rarely
3 – Often
4 – Always
6. I may smoke a small amount of marijuana if good friends offer it to me.
1 – Never
2 – Rarely
3 – Often
4 – Always
7. I drink alcohol to relieve stress.
1 – Never
2 – Rarely
3 – Often
4 – Always
8. I may smoke when I have been drinking alcohol.
1 – Never
2 – Rarely
3 – Often
4 – Always
9. I am fully able to control my intake of sweets.
1 – Never
2 – Rarely
3 – Often
4 – Always
10. When something unpleasant happens to me, I can set aside everything else and focus on solving the problem.
1 – Never
2 – Rarely
3 – Often
4 – Always
11. I can meet someone online and go on a blind date.
1 - Never
2 - Rarely
3 - Often
4 - Always
12. I have thoughts that some substances considered narcotic could be legalized for use because they are not dangerous.
1 – Never
2 – Rarely
3 – Often
4 – Always
13. Even when I am told that my weight is normal, I follow strict diets, fast, or use other methods.
1 – Never
2 – Rarely
3 – Often
4 – Always
14. I may smoke if I am offered a cigarette.
1 – Never
2 – Rarely
3 – Often
4 – Always
15. I can allow myself to drink a lot of strong alcoholic drinks in appropriate circumstances.
1 – Never
2 – Rarely
3 – Often
4 – Always
16. Even at meals where there is plenty of tasty food, I can stop and avoid overeating.
1 – Never
2 – Rarely
3 – Often
4 – Always
17. When I notice symptoms of illness, I may buy medication based on advertising or the advice of acquaintances.
1 – Never
2 – Rarely
3 – Often
4 – Always
18. I like to take risks (for example, jumping over gaps, sitting on balcony railings, etc.).
1 – Never
2 – Rarely
3 – Often
4 – Always
19. I think it is acceptable to use certain psychoactive substances to have unusual experiences.
1 – Never
2 – Rarely
3 – Often
4 – Always
20. Whenever I have the opportunity, I snack or chew on something.
1 – Never
2 – Rarely
3 – Often
4 – Always
21. I like trying all kinds of alcoholic cocktails.
1 – Never
2 – Rarely
3 – Often
4 – Always
22. I may smoke a hookah in a suitable setting.
1 - Never
2 - Rarely
3 - Often
4 - Always
23. Even if I would prefer to stay out of it, I get drawn into conflicts and later regret it.
1 – Never
2 – Rarely
3 – Often
4 – Always
24. I prefer to drive carefully and follow traffic rules.
1 – Never
2 – Rarely
3 – Often
4 – Always
25. I like to try good cigars.
1 – Never
2 – Rarely
3 – Often
4 – Always
26. I enjoy trying rare, expensive alcoholic drinks.
1 – Never
2 – Rarely
3 – Often
4 – Always
27. When I feel upset or nervous, I eat and it helps calm me down.
1 – Never
2 – Rarely
3 – Often
4 – Always
28. At holidays, parties, or in clubs, I do not like to dance.
1 – Never
2 – Rarely
3 – Often
4 – Always
29. In stressful situations, I can make myself relax.
1 – Never
2 – Rarely
3 – Often
4 – Always
30. Since childhood, I have been under the care of many doctors and must consistently follow their recommendations.
1 – Never
2 – Rarely
3 – Often
4 – Always
31. When riding in a car, I fasten my seat belt.
1 – Never
2 – Rarely
3 – Often
4 – Always
32. I may be tempted to smoke unusual, rare cigarettes.
1 – Never
2 – Rarely
3 – Often
4 – Always
33. I enjoy tasting different wines.
1 – Never
2 – Rarely
3 – Often
4 – Always
34. I may eat "for company" even when I am not hungry.
Never
Rarely
Often
Always
35. I am able to pace myself in my studies or work and avoid overexerting myself.
1 – Never
2 – Rarely
3 – Often
4 – Always
36. I cross the road where it is convenient for me rather than where it is permitted.
Never
Rarely
Often
Always
37. I stay out late visiting others or working, and then return home alone after dark.
1 – Never
2 – Rarely
3 – Often
4 – Always
38. I smoke when I feel nervous.
1 – Never
2 – Rarely
3 – Often
4 – Always
39. I can easily refuse a drink when I am offered one in a social setting.
1 – Never
2 – Rarely
3 – Often
4 – Always
40. If I feel like it, I eat unhealthy food (e.g., chips, hamburgers, etc.).
1 – Never
2 – Rarely
3 – Often
4 – Always
41. I get confused in my relationships with other people and then spend a long time trying to sort them out.
1 – Never
2 – Rarely
3 – Often
4 – Always
42. Sometimes I cannot stop and keep eating even when I feel full.
1 - Never
2 - Rarely
3 - Often
4 - Always
43. I have enough willpower to complete a long course of treatment.
1 – Never
2 – Rarely
3 – Often
4 – Always
44. If I need to, I can use an electrical appliance even if it is unsafe (e.g., exposed wires, a burning smell).
1 – Never
2 – Rarely
3 – Often
4 – Always
45. I try not to limit myself in anything, since life is short.
1 – Never
2 – Rarely
3 – Often
4 – Always
46. I like to experiment with and set off new firecrackers and fireworks.
1 - Never
2 - Rarely
3 - Often
4 - Always
47. If I were given a pipe and tobacco, I would not be able to resist smoking.
1 – Never
2 – Rarely
3 – Often
4 – Always
48. I allow myself to drink a low-alcohol beverage (a “long drink”) whenever I want.
1 – Never
2 – Rarely
3 – Often
4 – Always
49. I like to eat while watching television, working on the computer, or reading.
1 – Never
2 – Rarely
3 – Often
4 – Always
50. When my problems build up, I feel lethargic and helpless.
1 – Never
2 – Rarely
3 – Often
4 – Always
51. I can have sexual intercourse even when I do not have protection available.
1 – Never
2 – Rarely
3 – Often
4 – Always
52. I smoke cigarettes with reduced tar and nicotine.
1 – Never
2 – Rarely
3 – Often
4 – Always
53. I use vitamins or dietary supplements, do detox cleanses, or undergo other procedures without a doctor's recommendation.
1 – Never
2 – Rarely
3 – Often
4 – Always
54. I may smoke in a pleasant setting (e.g., at a cafe, outdoors, or on a balcony).
1 – Never
2 – Rarely
3 – Often
4 – Always
55. I drink alcohol to improve my mood.
1 – Never
2 – Rarely
3 – Often
4 – Always
56. I eat only healthy, diet foods in line with the latest scientific findings.
1 – Never
2 – Rarely
3 – Often
4 – Always
57. I prefer to exercise only under comfortable conditions.
1 – Never
2 – Rarely
3 – Often
4 – Always
58. I swim far from shore or when a storm is starting.
1 – Never
2 – Rarely
3 – Often
4 – Always
59. I enjoy skating or walking on ice, even if it is thin.
1 – Never
2 – Rarely
3 – Often
4 – Always
60. I enjoy drinking alcohol with a good meal or snacks.
1 – Never
2 – Rarely
3 – Often
4 – Always
61. In situations of desperation, I stop taking care of myself.
Never
Rarely
Often
Always
62. To avoid taking a longer route, I may cut through an empty lot, a dark alley, a wooded area, etc.
Never
Rarely
Often
Always
63. I try to maintain an attractive skin tone by using tanning beds or sunbathing at the beach.
1 – Never
2 – Rarely
3 – Often
4 – Always