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Special Research Project
Step
1
of
7
14%
Special Research Consent
This research project is about a new group of behavioral reactions by which certain people respond to everyday life situations. So the questions are about emotional behaviors.
You agree you are you at least 18 years old and are participating in this project entirely by your choice. Your actual name is not required for the survey; give only a nickname or alias. The results from this research study may be used for research articles, presentations, and teaching purposes. Only aggregated results will be used, and no personal identifiable information is being collected. You are welcome to discontinue at any time if you no longer want to participate. If you have a strong adverse reaction at any point and wish to discuss it you may contact the researcher at
findinnerpeacenow@gmail.com
Do you agree or disagree to participate?
*
Agree
Disagree
Alias/Nicname
*
Your Age
*
17-39
40-59
60-79
80 and higher
Self Description
*
Female
Male
Other
Questionnaire #1
Select your response choice to express how feel or think about each statement
5=Always 4=Frequently 3=Occasionally 2=Rarely 1=Very Rarely 0=Never
I am talkative
*
0 (Never)
1
2
3
4
5 (Always)
I tend to find fault with others
*
0 (Never)
1
2
3
4
5 (Always)
I do a thorough job
*
0 (Never)
1
2
3
4
5 (Always)
I am depressed, blue
*
0 (Never)
1
2
3
4
5 (Always)
I am original, come up with new ideas
*
0 (Never)
1
2
3
4
5 (Always)
I am reserved
*
0 (Never)
1
2
3
4
5 (Always)
I am helpful and unselfish with others
*
0 (Never)
1
2
3
4
5 (Always)
I can be somewhat careless
*
0 (Never)
1
2
3
4
5 (Always)
I am relaxed, handle stress well
*
0 (Never)
1
2
3
4
5 (Always)
I am curious about many different things
*
0 (Never)
1
2
3
4
5 (Always)
I am full of energy
*
0 (Never)
1
2
3
4
5 (Always)
I start quarrels with others
*
0 (Never)
1
2
3
4
5 (Always)
I am a reliable worker
*
0 (Never)
1
2
3
4
5 (Always)
I can be tense
*
0 (Never)
1
2
3
4
5 (Always)
I am ingenious, a deep thinker
*
0 (Never)
1
2
3
4
5 (Always)
I generate a lot of enthusiasm
*
0 (Never)
1
2
3
4
5 (Always)
I have a forgiving nature
*
0 (Never)
1
2
3
4
5 (Always)
I tend to be disorganized
*
0 (Never)
1
2
3
4
5 (Always)
I worry a lot
*
0 (Never)
1
2
3
4
5 (Always)
I have an active imagination
*
0 (Never)
1
2
3
4
5 (Always)
I tend to be quiet
*
0 (Never)
1
2
3
4
5 (Always)
I am generally trusting
*
0 (Never)
1
2
3
4
5 (Always)
I tend to be lazy
*
0 (Never)
1
2
3
4
5 (Always)
I am emotionally stable, not easily upset
*
0 (Never)
1
2
3
4
5 (Always)
I am inventive
*
0 (Never)
1
2
3
4
5 (Always)
I have an assertive personality
*
0 (Never)
1
2
3
4
5 (Always)
I can be cold and aloof
*
0 (Never)
1
2
3
4
5 (Always)
I persevere until the task is finished
*
0 (Never)
1
2
3
4
5 (Always)
I can be moody
*
0 (Never)
1
2
3
4
5 (Always)
I value artistic, aesthetic experiences
*
0 (Never)
1
2
3
4
5 (Always)
I am sometimes shy, inhibited
*
0 (Never)
1
2
3
4
5 (Always)
I am considerate and kind to almost everyone
*
0 (Never)
1
2
3
4
5 (Always)
I do things efficiently
*
0 (Never)
1
2
3
4
5 (Always)
I remain calm in tense situations
*
0 (Never)
1
2
3
4
5 (Always)
I prefer work that is routine
*
0 (Never)
1
2
3
4
5 (Always)
I am outgoing, sociable
*
0 (Never)
1
2
3
4
5 (Always)
I am sometimes rude to others
*
0 (Never)
1
2
3
4
5 (Always)
I make plans and follow through with them
*
0 (Never)
1
2
3
4
5 (Always)
I get nervous easily
*
0 (Never)
1
2
3
4
5 (Always)
I like to reflect, play with ideas
*
0 (Never)
1
2
3
4
5 (Always)
I have few artistic interests
*
0 (Never)
1
2
3
4
5 (Always)
I like to cooperate with others
*
0 (Never)
1
2
3
4
5 (Always)
I am easily distracted
*
0 (Never)
1
2
3
4
5 (Always)
I am sophisticated in art, music, or literature
*
0 (Never)
1
2
3
4
5 (Always)
Please ensure each item has a response then proceed to the Next Test
Questionnaire #2
Select your response choice to express how you feel or think about each statement
5=Always 4=Frequently 3=Occasionally 2=Rarely 1=Very Rarely 0=Never
It is normal to be unsure that you are safe from being harmed or hurt.
*
0 (Never)
1
2
3
4
5 (Always)
It is easy for people to hurt others with unfair criticism or blame.
*
0 (Never)
1
2
3
4
5 (Always)
I look for all the compliments and praise I am due
*
0 (Never)
1
2
3
4
5 (Always)
I often say so when it feels like life is unfair or things are not going my way or in my favor
*
0 (Never)
1
2
3
4
5 (Always)
More than a few times a day I feel frustrated or upset
*
0 (Never)
1
2
3
4
5 (Always)
It is very uncomfortable whenever others find fault with one’s appearance or image
*
0 (Never)
1
2
3
4
5 (Always)
It is difficult to wait for people or things
*
0 (Never)
1
2
3
4
5 (Always)
I probably speak or act in haste at times
*
0 (Never)
1
2
3
4
5 (Always)
I often regret things soon after I say or do them
*
0 (Never)
1
2
3
4
5 (Always)
Some of my statements could be (or have been) described as sarcastic humor
*
0 (Never)
1
2
3
4
5 (Always)
I may sometimes react very strongly or “lose it”
*
0 (Never)
1
2
3
4
5 (Always)
Many situations are difficult in a relationship (whether at work, socially, in the family and/or in romantic situations)
*
0 (Never)
1
2
3
4
5 (Always)
The things that make a person very defensive or feel offended are always around you
*
0 (Never)
1
2
3
4
5 (Always)
It is always very important to get as much information as there is
*
0 (Never)
1
2
3
4
5 (Always)
Order, tidiness and cleanliness are always very important
*
0 (Never)
1
2
3
4
5 (Always)
I have a definite liking or dislike for certain textures, colors, patterns and/or motion
*
0 (Never)
1
2
3
4
5 (Always)
It might seem to others that my behavior is opposite to or inconsistent with other behaviors in similar situations
*
0 (Never)
1
2
3
4
5 (Always)
Most of the time I take almost all statements and actions of others seriously or “as is”
*
0 (Never)
1
2
3
4
5 (Always)
Being on time and using time effectively are always very important
*
0 (Never)
1
2
3
4
5 (Always)
It is seldom necessary to disclose all of one’s options
*
0 (Never)
1
2
3
4
5 (Always)
I worry often about many things
*
0 (Never)
1
2
3
4
5 (Always)
“Do things my way” could well be my motto, because that always feels better
*
0 (Never)
1
2
3
4
5 (Always)
Very often my mind is full of thoughts that come up again and again
*
0 (Never)
1
2
3
4
5 (Always)
At least one of my parents (the person who raised me) may be described as “a worrier”
*
0 (Never)
1
2
3
4
5 (Always)
At least one of my parents (the person who raised me) had emotional problems when I was growing up
*
0 (Never)
1
2
3
4
5 (Always)
I have suffered from the effects of trauma or a difficult emotional life for at least two years
*
0 (Never)
1
2
3
4
5 (Always)
I and/or one parent experienced a dangerous or very threatening personal, political and/or military event/s for an extended period
*
0 (Never)
1
2
3
4
5 (Always)
I have been/am being bullied
*
0 (Never)
1
2
3
4
5 (Always)
I and/or one parent (the person who raised me) has suffered a serious illness
*
0 (Never)
1
2
3
4
5 (Always)
Please ensure each item has a response then proceed to the Next Test
Questionnaire #3
Select your response choice to express how you feel or think about each statement
5=Always 4=Frequently 3=Occasionally 2=Rarely 1=Very Rarely 0=Never
Numbness or tingling
*
0 (Never)
1
2
3
4
5 (Always)
Feeling hot
*
0 (Never)
1
2
3
4
5 (Always)
Wobbliness in legs
*
0 (Never)
1
2
3
4
5 (Always)
Unable to relax
*
0 (Never)
1
2
3
4
5 (Always)
Fear of worst happening
*
0 (Never)
1
2
3
4
5 (Always)
Dizzy or light-headed
*
0 (Never)
1
2
3
4
5 (Always)
Heart pounding or racing
*
0 (Never)
1
2
3
4
5 (Always)
Unsteady
*
0 (Never)
1
2
3
4
5 (Always)
Terrified or afraid
*
0 (Never)
1
2
3
4
5 (Always)
Nervous
*
0 (Never)
1
2
3
4
5 (Always)
Feeling of choking
*
0 (Never)
1
2
3
4
5 (Always)
Hands trembling
*
0 (Never)
1
2
3
4
5 (Always)
Shaky or unsteady
*
0 (Never)
1
2
3
4
5 (Always)
Fear of losing control
*
0 (Never)
1
2
3
4
5 (Always)
Difficulty breathing
*
0 (Never)
1
2
3
4
5 (Always)
Fear of dying
*
0 (Never)
1
2
3
4
5 (Always)
Scared
*
0 (Never)
1
2
3
4
5 (Always)
Indigestion
*
0 (Never)
1
2
3
4
5 (Always)
Faint or light-headed
*
0 (Never)
1
2
3
4
5 (Always)
Face flushed
*
0 (Never)
1
2
3
4
5 (Always)
Hot or cold sweats
*
0 (Never)
1
2
3
4
5 (Always)
Please ensure each item has a response then proceed to the Next Test
Questionnaire #4
How often you have observed any part of these behaviors or characteristics
in others
5=Always 4=Frequently 3=Occasionally 2=Rarely 1=Very Rarely 0=Never
Seems to feel threatened often
*
0 (Never)
1
2
3
4
5 (Always)
Tends to take statements and actions of others seriously or “as is” most of the time.
*
0 (Never)
1
2
3
4
5 (Always)
Being on time or using time effectively is always very important
*
0 (Never)
1
2
3
4
5 (Always)
Speaking or acting hastily as if without thinking things through at times; showing impatience
*
0 (Never)
1
2
3
4
5 (Always)
Appearing fault-free and keeping up one's image are always very important
*
0 (Never)
1
2
3
4
5 (Always)
Tends to compete for the most attention
*
0 (Never)
1
2
3
4
5 (Always)
Usually keen to get full information: keeps own complete agenda undisclosed
*
0 (Never)
1
2
3
4
5 (Always)
Sometimes shows behaviors that are opposite to or inconsistent with other behaviors in similar situations
*
0 (Never)
1
2
3
4
5 (Always)
Frequently uses sarcastic humor
*
0 (Never)
1
2
3
4
5 (Always)
Tries to control others; seems to strongly desire that others are in agreement with them
*
0 (Never)
1
2
3
4
5 (Always)
Tends to become strongly defensive; easily offended
*
0 (Never)
1
2
3
4
5 (Always)
Appears to feel guilty often: tends to place blame or guilt on others
*
0 (Never)
1
2
3
4
5 (Always)
Quickly frustrated when others show their own emotional needs
*
0 (Never)
1
2
3
4
5 (Always)
Low tolerance of discomfort; displays “emotional drama” sometimes
*
0 (Never)
1
2
3
4
5 (Always)
Sometimes shows strong liking or dislike for certain textures, colors, patterns and/or motion
*
0 (Never)
1
2
3
4
5 (Always)
Order, tidiness and cleanliness appear to be very important
*
0 (Never)
1
2
3
4
5 (Always)
Very cautious in spending money; often spends freely
*
0 (Never)
1
2
3
4
5 (Always)
Seems to go to lengths to avoid criticism or blame; has a strong need to be acknowledged, praised or admired
*
0 (Never)
1
2
3
4
5 (Always)
Tends to often complain or be dissatisfied
*
0 (Never)
1
2
3
4
5 (Always)
Tends to be moody, easily bothered or irritated
*
0 (Never)
1
2
3
4
5 (Always)
Tends to have relationship problems (e.g. at work, within the family, socially and/or in romantic settings)
*
0 (Never)
1
2
3
4
5 (Always)
Please ensure each item has a response then proceed to the Next Test
Questionnaire #5
Select your response choice to express how you feel or think about each statement
5=Always 4=Frequently 3=Occasionally 2=Rarely 1=Very Rarely 0=Never
If I do not have enough time to do everything, I do not worry about it.
*
0 (Never)
1
2
3
4
5 (Always)
My worries overwhelm me
*
0 (Never)
1
2
3
4
5 (Always)
I do not tend to worry about things
*
0 (Never)
1
2
3
4
5 (Always)
Many situations make me worry
*
0 (Never)
1
2
3
4
5 (Always)
I know I should not worry about things, but I just cannot help it
*
0 (Never)
1
2
3
4
5 (Always)
When I am under pressure I worry a lot
*
0 (Never)
1
2
3
4
5 (Always)
I am always worrying about something
*
0 (Never)
1
2
3
4
5 (Always)
I find it easy to dismiss worrisome thoughts
*
0 (Never)
1
2
3
4
5 (Always)
As soon as I finish one task, I start to worry about everything else I have to do
*
0 (Never)
1
2
3
4
5 (Always)
I never worry about anything
*
0 (Never)
1
2
3
4
5 (Always)
When there is nothing more I can do about a concern, I do not worry about it any more
*
0 (Never)
1
2
3
4
5 (Always)
I have been a worrier all my life
*
0 (Never)
1
2
3
4
5 (Always)
I notice that I have been worrying about things
*
0 (Never)
1
2
3
4
5 (Always)
Once I start worrying, I cannot stop
*
0 (Never)
1
2
3
4
5 (Always)
I worry all the time
*
0 (Never)
1
2
3
4
5 (Always)
I worry about projects until they are all done
*
0 (Never)
1
2
3
4
5 (Always)
Please ensure each item has a response then proceed to the Next Test
Questionnaire #6
Select your response choice to express how feel or think about each statement
5=Always 4=Frequently 3=Occasionally 2=Rarely 1=Very Rarely 0=Never
How well I cope with difficult situations depends on whether I have outside help
*
0 (Never)
1
2
3
4
5 (Always)
When I am put under stress, I am likely to lose control
*
0 (Never)
1
2
3
4
5 (Always)
When I am frightened by something, there is generally nothing I can do
*
0 (Never)
1
2
3
4
5 (Always)
Whether I can successfully escape a frightening situation is always a matter of chance with me
*
0 (Never)
1
2
3
4
5 (Always)
I can usually put worrisome thoughts out of my mind easily
*
0 (Never)
1
2
3
4
5 (Always)
I am able to control my level of anxiety
*
0 (Never)
1
2
3
4
5 (Always)
There is little I can do to change frightening events
*
0 (Never)
1
2
3
4
5 (Always)
The extent to which a difficult situation resolves itself has nothing to do with my actions
*
0 (Never)
1
2
3
4
5 (Always)
If something is going to hurt me, it will happen no matter what I do
*
0 (Never)
1
2
3
4
5 (Always)
I can usually relax when I want
*
0 (Never)
1
2
3
4
5 (Always)
When I am under stress, I am not always sure how I will react
*
0 (Never)
1
2
3
4
5 (Always)
Most events that make me anxious are outside my control
*
0 (Never)
1
2
3
4
5 (Always)
I am unconcerned if I become anxious in a difficult situation, because I am confident in my ability to cope with my symptoms
*
0 (Never)
1
2
3
4
5 (Always)
I usually find it hard to deal with difficult problems
*
0 (Never)
1
2
3
4
5 (Always)
When I am anxious, I find it hard to focus on anything other than my anxiety
*
0 (Never)
1
2
3
4
5 (Always)
Please ensure each item has a response then proceed.
Comments
This field is for validation purposes and should be left unchanged.
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