Sensitivity to rejection because of appearance, SRBA Test - the question form
Questions: 30 · 6 minutes
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1. How bothered would you be that, because of your appearance, you might not seem attractive to your date?
(would not bother you at all) 1
2
3
4
5
6 (would bother you very much)
2. I would think that my date would find me not very attractive because of my appearance.
1 (very unlikely)
2
3
4
5
6 (most likely)
3. How concerned would you be that other people would be less interested in you because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (extremely bothersome)
4. I would think that others would find me less attractive.
1 (very unlikely)
2
3
4
5
6 (most likely)
5. How bothered would you be by the possibility that other people might show less interest in you because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (extremely bothersome)
6. I would think that others consider me less attractive because of the way I look.
(very unlikely) 1
2
3
4
5
6 (most likely)
7. How concerned would you be that someone might not write to you because of your appearance?
(would not bother me at all) 1
2
3
4
5
6 (would bother me a great deal)
8. I would think that they might not contact me because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
9. Would it bother you that this gift was given because of how your body looks?
(Not at all bothersome) 1
2
3
4
5
6 (Extremely bothersome)
10. I would think that this gift was given because of how my body looks.
(very unlikely) 1
2
3
4
5
6 (most likely)
11. Would it bother you that your companion might find you less interesting because of your appearance?
1 (would not bother me at all)
2
3
4
5
6 (would bother me very much)
12. I would think that my date is less interested in me because of my appearance.
1 (Very unlikely)
2
3
4
5
6 (Most likely)
13. Would you be bothered if you were not allowed into a club because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (extremely bothersome)
14. I would think I was not being let into the club because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
15. How bothered would you be if you did not receive a phone call because of your appearance?
1 (not at all bothered)
2
3
4
5
6 (extremely bothered)
16. I would think she is not calling because of my appearance.
(Very unlikely) 1
2
3
4
5
6 (Most likely)
17. Would you be bothered if someone wanted to end a relationship with you because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (extremely bothersome)
18. I would think that she wants to end the relationship because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
19. How upset would you be if no one wanted to dance with you because of your appearance?
1 (not at all upsetting)
2
3
4
5
6 (extremely upsetting)
20. I would think that no one wanted to dance with me because of my appearance.
1 (very unlikely)
2
3
4
5
6 (most likely)
21. How bothered would you be if you were not called back because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (would be extremely bothersome)
22. I would think they did not call me back because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
23. How concerned would you be that no one chose you because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (extremely bothersome)
24. I would think I was not chosen because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
25. How concerned would you feel that you have become less interesting to her because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (extremely bothersome)
26. I would think that she was less interested in me because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
27. How concerned would you feel that you have become less appealing to others because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (would be extremely bothersome)
28. I would think that I had become less attractive to others because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
29. How concerned would you be that others find you less interesting because of your appearance?
1 (would not bother me at all)
2
3
4
5
6 (would bother me very much)
30. I would think that I had become less attractive to others because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
1. How bothered would you be that your date might not find you attractive because of your appearance?
(would not bother you at all) 1
2
3
4
5
6 (would bother you very much)
2. I would think that my date would find me not very attractive because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
3. How concerned would you be that others might show less interest in you because of your appearance?
Not at all bothersome (1)
2
3
4
5
Extremely bothersome (6)
4. I would think that others would find me less attractive.
(very unlikely) 1
2
3
4
5
6 (most likely)
5. How concerned would you be that other people might show less interest in you because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (extremely bothersome)
6. I would think that others find me less attractive because of the way I look.
1 (very unlikely)
2
3
4
5
6 (most likely)
7. How concerned would you be that someone might not message you because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (extremely bothersome)
8. I would think they might not contact me because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
9. Would it bother you that this gift was given because of how your body looks?
(not at all bothersome) 1
2
3
4
5
6 (extremely bothersome)
10. I would think that this gift was given because of how my body looks.
(very unlikely) 1
2
3
4
5
6 (most likely)
11. How concerned would you be that you are less attractive to your partner because of your appearance?
Not at all bothersome (1)
2
3
4
5
Extremely bothersome (6)
12. I would think that my companion was less interested in me because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
13. Would it bother you if you were not allowed into a club because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (extremely bothersome)
14. I would think I was not being allowed into the club because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
15. How bothered would you be if you did not get a call back because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (would bother you a great deal)
16. I would think he is not calling because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
17. How concerned would you feel that someone might want to end a relationship with you because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (extremely bothersome)
18. I would think that he wants to end the relationship because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
19. How bothered would you be if no one wanted to dance with you because of your appearance?
1 (not at all bothered)
2
3
4
5
6 (extremely bothered)
20. I would think that no one wants to dance with me because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
21. Would you be bothered by not being called back because of your appearance?
(would not bother me at all) 1
2
3
4
5
6 (would bother me very much)
22. I would think they did not call me back because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
23. Would you feel worried that no one chose you because of your appearance?
(not at all bothersome) 1
2
3
4
5
6 (would be very bothersome)
24. I would think I was not chosen because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)
25. Would you feel worried that he would find you less interesting because of your appearance?
(Not at all bothersome) 1
2
3
4
5
6 (Extremely bothersome)
26. I would think that he would find me less attractive because of my appearance.
1 (very unlikely)
2
3
4
5
6 (most likely)
27. How concerned would you feel that others find you less interesting because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (extremely bothersome)
28. I would think that, because of my appearance, I had become less attractive to others.
1 (very unlikely)
2
3
4
5
6 (most likely)
29. Would you feel concerned that you have become less interesting to others because of your appearance?
1 (not at all bothersome)
2
3
4
5
6 (would bother me very much)
30. I would think that I had become less attractive to others because of my appearance.
(very unlikely) 1
2
3
4
5
6 (most likely)