1.             Do you ever feel sad?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 2

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

2.              Do you ever feel as if people seem to drop hints about you or say things with a double meaning?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 3

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

3.             Do you ever feel that you are not a very animated person?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 4

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

4.             Do you ever feel that you are not much of a talker when you are conversing with other people?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 5

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

5.              Do you ever feel as if things in magazines or on TV were written especially for you?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 6

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

6.              Do you ever feel as if some people are not what they seem to be?

 

(please tick)

 

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 7

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

7.              Do you ever feel as if you are being persecuted in some way?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 8

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

8.             Do you ever feel that you experience few or no emotions at important events?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 9

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

9.             Do you ever feel pessimistic about everything?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 10

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

10.          Do you ever feel as if there is a conspiracy against you?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 11

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

11.          Do you ever feel as if you are destined to be someone very important?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 12

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

12.          Do you ever feel as if there is no future for you?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 13

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

13.          Do you ever feel that you are a very special or unusual person?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

If you ticked "never", please go to question 14

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

14.          Do you ever feel as if you do not want to live anymore?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 15

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

 

15.          Do you ever think that people can communicate telepathically?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 16

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

16.          Do you ever feel that you have no interest to be with other people?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 17

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

17.          Do you ever feel as if electrical devices such as computers can influence the way you think?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 18

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

18.          Do you ever feel that you are lacking in motivation to do things?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 19

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

19.          Do you ever cry about nothing?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 20

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

20.          Do you believe in the power of witchcraft, voodoo or the occult?

 

(please tick)

 

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 21

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

21.          Do you ever feel that you are lacking in energy?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 22

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

22.          Do you ever feel that people look at you oddly because of your appearance?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 23

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

23.          Do you ever feel that your mind is empty?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 24

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

24.          Do you ever feel as if the thoughts in your head are being taken away from you?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 25

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

25.          Do you ever feel that you are spending all your days doing nothing?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 26

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

26.          Do you ever feel as if the thoughts in your head are not your own?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 27

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

27.          Do you ever feel that your feelings are lacking in intensity?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 28

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

28.          Have your thoughts ever been so vivid that you were worried other people would hear them?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 29

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

29.          Do you ever feel that you are lacking in spontaneity?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 30

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

30.          Do you ever hear your own thoughts being echoed back to you?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 31

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

31.          Do you ever feel as if you are under the control of some force or power other than yourself?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 32

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

32.          Do you ever feel that your emotions are blunted?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 33

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

33.          Do you ever hear voices when you are alone?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 34

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

34.          Do you ever hear voices talking to each other when you are alone?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 35

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

35.          Do you ever feel that you are neglecting your appearance or personal hygiene?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 36

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

36.          Do you ever feel that you can never get things done?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 37

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

37.          Do you ever feel that you have only few hobbies or interests?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 38

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

38.          Do you ever feel guilty?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 39

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

39.          Do you ever feel like a failure?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", please go to question 40

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

 

 

40.          Do you ever feel tense?

 

(please tick)

 

 

Never              Sometimes          Often              Nearly always   

 

 

 

If you ticked "never", you are now ready

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed                  A bit distressed         Quite distressed         Very distressed 

 

 

 

 

41.     Do you ever feel as if a double has taken the place of a family member, friend or acquaintance?

 

(please tick)

 

 

Never           Sometimes               Often           Nearly always   

 

 

 

If you ticked "never", you are now ready

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed          A bit distressed               Quite distressed                Very distressed 

 

 

 

42.     Do you ever see objects, people or animals that other people cannot see? 

 

(please tick)

 

 

Never           Sometimes               Often           Nearly always   

 

 

If you ticked "never", you are now ready

 

If you ticked "sometimes" , "often" or "nearly always" please indicate how distressed you are by this experience:

 

(please tick)

 

 

Not distressed          A bit distressed               Quite distressed                Very distressed