Self-Assessment Test for Mental States - the question form

Questions: 40 · 4 minutes
Select Questionnaire Type
Male form
Female form
1. I do not feel confident in myself.
Yes, I often feel this way.
Sometimes I feel this way.
No, this does not describe me at all.
2. I often blush over trivial things.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
3. My sleep is restless.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
4. I become discouraged easily.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
5. I worry about imagined misfortunes.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
6. Difficulties frighten me.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
7. I tend to dwell on my shortcomings.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
8. I am easily persuaded.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
9. I tend to worry excessively about my health.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
10. I find it hard to tolerate waiting.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
11. I often see situations as hopeless even though a way out can always be found.
Yes, I often feel this way
Sometimes I feel this way
No, this does not describe me at all
12. Setbacks upset me a lot; I feel discouraged.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
13. When faced with major setbacks, I tend to blame myself without sufficient reason.
1 – Yes, I experience this often
2 – This happens to me sometimes
3 – No, this does not describe me at all
14. Misfortunes and setbacks do not teach me anything.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
15. I often give up trying because I feel it is pointless.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
16. I often feel helpless.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
17. At times, I feel a sense of despair.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
18. I feel confused when faced with difficulties.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
19. In difficult moments in life, I sometimes act childishly and want others to feel sorry for me.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
20. I consider the flaws in my character to be unchangeable.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
21. I insist on having the last word.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
22. In conversation, I often interrupt the other person.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
23. I am easily irritated.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
24. I like to criticize others.
1 – Yes, this describes me often
2 – This describes me sometimes
3 – No, this does not describe me at all
25. I want to be seen as an authority by others.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
26. I am not satisfied with having little; I want more.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
27. When I get angry, I have difficulty controlling myself.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
28. I prefer to be in charge rather than to follow others.
1 – Yes, this describes me often
2 – This describes me sometimes
3 – No, this does not describe me at all
29. I have abrupt, somewhat coarse gestures.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
30. I feel vindictive.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
31. I find it difficult to change my habits.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
32. I find it hard to shift my attention.
Yes, I experience this often
I experience this sometimes
No, this does not describe me at all
33. I am very wary of anything new.
Yes, I experience this often
I experience this sometimes
No, this does not describe me at all
34. It is hard to change my mind.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
35. I often cannot get a thought out of my head that I should be able to get rid of.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
36. I find it difficult to get close to people.
Yes, this often applies to me
Sometimes this applies to me
No, this does not describe me at all
37. Even minor disruptions to my plans upset me.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
38. I often behave stubbornly.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
39. I am reluctant to take risks.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
40. I become very upset when I deviate from my usual daily routine.
1 – Yes, this often describes me
2 – This describes me sometimes
3 – No, this does not describe me at all
1. I do not feel confident in myself.
Yes, I experience this often
I experience this sometimes
No, this does not describe me at all
2. I often blush over trivial things.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
3. My sleep is restless.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
4. I become easily discouraged.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
5. I worry about imagined problems.
1 – Yes, this applies to me often
2 – This applies to me sometimes
3 – No, this does not apply to me at all
6. Difficulties frighten me.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
7. I dwell on my shortcomings.
1 - Yes, I often feel this way
2 - I sometimes feel this way
3 - No, this does not describe me at all
8. I am easily persuaded.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
9. I tend to worry excessively.
Yes, I experience this often
I experience this sometimes
No, this does not describe me at all
10. I find it hard to tolerate having to wait.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
11. I often feel that situations are hopeless even though there is always a way out.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
12. Setbacks upset me greatly, and I lose heart.
Yes, I often feel this way
Sometimes I feel this way
No, this does not describe me at all
13. When faced with major difficulties, I tend to blame myself without sufficient reason.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
14. Misfortunes and setbacks do not teach me anything.
Yes, I experience this often.
I experience this sometimes.
No, this does not describe me at all.
15. I often give up, thinking that trying is futile.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
16. I often feel defenseless.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
17. I sometimes feel a sense of despair.
1 – Yes, I often experience this state
2 – I sometimes experience this state
3 – No, this does not describe me at all
18. I feel confused when faced with difficulties.
Yes, I often feel this way
I sometimes feel this way
No, this does not describe me at all
19. At difficult times in my life, I sometimes behave childishly and want others to feel sorry for me.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
20. I consider the flaws in my character to be unchangeable.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
21. I insist on having the last word.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
22. I often interrupt the other person during a conversation.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
23. I am easily irritated.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
24. I like to criticize others.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
25. I want to be an authority for others.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
26. I am not satisfied with little; I want more.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
27. When I get angry, I have difficulty controlling myself.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
28. I prefer to lead rather than follow.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
29. I have abrupt, somewhat rough gestures.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
30. I am vindictive.
1 - Yes, I experience this often
2 - I experience this sometimes
3 - No, this does not describe me at all
31. I find it difficult to change my habits.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
32. I find it hard to shift my attention.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
33. I am very wary of anything new.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
34. It is hard to change my mind.
1 – Yes, I often feel this way
2 – I sometimes feel this way
3 – No, this does not describe me at all
35. I often cannot get a thought out of my head, even though I should be able to let it go.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
36. I find it difficult to get close to other people.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
37. Even minor disruptions to my plans upset me.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
38. I am often stubborn.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
39. I am reluctant to take risks.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
40. I become very upset when I deviate from my usual daily routine.
1 – Yes, I experience this often
2 – I experience this sometimes
3 – No, this does not describe me at all
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