| (1) In the last 30 days, how often have you been upset because of something that happened unexpectedly? |
0 |
1 |
2 |
3 |
4 |
| (2) In the last 30 days, how often have you felt that you were unable to control the important things in your life? |
0 |
1 |
2 |
3 |
4 |
| (3) In the last 30 days, how often have you felt nervous and “stressed”? |
0 |
1 |
2 |
3 |
4 |
| (4) In the last 30 days, how often have you felt confident about your ability to handle your personal problems? |
4 |
3 |
2 |
1 |
0 |
| (5) In the last 30 days, how often have you felt that things were going your way? |
4 |
3 |
2 |
1 |
0 |
| (6) In the last 30 days, how often have you found that you could not cope with all the things that you had to do? |
0 |
1 |
2 |
3 |
4 |
| (7) In the last 30 days, how often have you been able to control irritations in your life? |
4 |
3 |
2 |
1 |
0 |
| (8) In the last 30 days, how often have you felt that you were on top of things? |
4 |
3 |
2 |
1 |
0 |
| (9) In the last 30 days, how often have you been angered because of things that were outside of your control? |
0 |
1 |
2 |
3 |
4 |
| (10) In the last 30 days, how often have you felt difficulties were piling up so high that you could not overcome them? |
0 |
1 |
2 |
3 |
4 |
