| Never | Rarely | Sometimes | Often | Always | ||
|---|---|---|---|---|---|---|
| 1 | I can’t trust my own mind. | 0 | 1 | 2 | 3 | 4 |
| 2 | Someone has done something to me. | 0 | 1 | 2 | 3 | 4 |
| 3 | Something is terribly wrong. | 0 | 1 | 2 | 3 | 4 |
| 4 | I’m losing my mind. | 0 | 1 | 2 | 3 | 4 |
| 5 | I’m not really ‘me’. | 0 | 1 | 2 | 3 | 4 |
| 6 | I am all alone. | 0 | 1 | 2 | 3 | 4 |
| 7 | I don’t look right to other people right now. | 0 | 1 | 2 | 3 | 4 |
| 8 | I must be sick. | 0 | 1 | 2 | 3 | 4 |
| 9 | I’m not in the same world as everyone else. | 0 | 1 | 2 | 3 | 4 |
| 10 | This is because I am evil. | 0 | 1 | 2 | 3 | 4 |
| 11 | Now I won’t be able to do the things I wanted. | 0 | 1 | 2 | 3 | 4 |
| 12 | It’s not me in control right now. | 0 | 1 | 2 | 3 | 4 |
| 13 | This might last forever. | 0 | 1 | 2 | 3 | 4 |
Scoring: sum score of all items.
Note that: raw scores cannot distinguish between many appraisals occurring infrequently, and a small number of appraisals experienced very frequently. In clinical contexts, therefore, further interpretation of responses may be required.