General Information

How did you hear about this study?

listserve: name
link from another website: name
craigslist city: name
web search
from a friend
Other (Please specify below)

What is your age?

Gender:

Female
Male

What ethnic/racial/cultural, and/or national background do you most identify with?

European American
African American
Asian American
Latin American
Middle Eastern American
Indian (from India) American
Native American
Pacific Islander American
Other (Please specify below)

What country did you spend most of your youth?

What city and state did you spend most of your youth?

What is the zipcode/postal code of the place where you spent most of your youth?

How long did you live there? (In years)

In what country are you currently living?

In what city and state do you currently live?

What is the zipcode/postal code of the place where you currently live?

How long have you lived there? (In years)

Where would you place your parents on the following spectrum for social class?

If financially independent, where would you place yourself on the following spectrum for social class? (if you are not financially independent, please select the 'Not financially independent' option)

Number of years of formal education your mother or father (whichever is the highest) has completed:

Number of years of formal education you have completed:

Are you active in sports?

Yes
No

If yes, which sports?

How much time do you spend participating in sport-related activities?

At what level do you participate in sports activity?

Intercollegiate
Intramural
Individual
Other

What is or was your religious background i.e. what religion did you grow up with?

Protestant/Christian
Catholic
Jewish
Muslim
Hindu
Buddhist
Mormon
None
Other (Please specify below)

Sexual Orientation:

Heterosexual
Homosexual
Bisexual

What is your current relationship status? (please check the one that applies best to you)

Married/Living with an intimate other
Separated/Divorced
Never married
Widowed

Have you ever had a problem with drugs/alcohol?

Yes
No

If "Yes," what is/was your drug of choice?

If you have/had a problem with drugs/alcohol, please indicate:

used to have a problem, but stopped using over a year ago
used to have a problem, but stopped using a year ago
used to have a problem, but stopped using 6-11 months ago
used to have a problem, but stopped using 3-6 months ago
used to have a problem, but stopped using 1-3 months ago
used to have a problem, but stopped using within last 30 days
currently using

Do you have any psychiatric or mental health condition(s)? (e.g., depression, anxiety, panic attacks, etc.)

Yes
No

If yes, what psychiatric or mental health condition(s) do you have?

Condition 1:  

Condition 2:  

Condition 3:  

If there are any other condition(s), please list here.

Do you take any medication for psychiatric or mental health condition(s)?

Yes
No

What medication(s) do you take, and for what condition(s)?

Medication 1:    

For what condition?  


Medication 2:    

For what condition?  


Medication 3:    

For what condition?  



If you take any other medication(s) for psychiatric or mental health condition(s), please list here along with for what condition(s) you take the medication(s).

 

NAQ (ŠO'Connor, Lewis, Berry & Yi)

These are questions about some of your characteristics. Please answer using the 1 to 5 response scale indicated.
Very untrue of me OR strongly disagree Not true of me OR disagree Sometimes true and sometimes not true OR undecided True of me OR agree Very true of me OR strongly agree
I am a moody person.
Being stuck in traffic really bothers me.
My mood tends to decline noticeably in the winter months.
I tend to blurt things out and later regret having said them.
I enjoy strenuous exercise.
I tend to be a light sleeper.
I often stop working on a task or project before finishing it.
I think of myself as an anxious person or as a worrier.
I balance my checkbook regularly.
It is hard for me to sit at a desk and work without getting up and moving around.
My thoughts are organized.
I get speeding tickets more often than most people.
I often feel intimidated when I'm faced with people in authority - judges, police officers, supervisors, etc.
Very untrue of me OR strongly disagree Not true of me OR disagree Sometimes true and sometimes not true OR undecided True of me OR agree Very true of me OR strongly agree
When I try to go to sleep at night, I often find that my mind doesn't shut off.
In conversations, my mind tends to wander away from what the other person is saying.
I lose my temper easily.
I get more parking tickets than most people.
I get migraine headaches.
I really enjoy being outdoors in nature.
It is difficult to stay with one thought or idea without being interrupted by other thoughts that lead to still more thoughts or ideas that are not related to the thought or idea I began with.
I have irregular bowel movements.
Waiting in lines really bothers me.
In the winter, I find it a lot harder to get up in the morning.
I have had a problem with drinking too much.
People complain that I interrupt them.
When away from home, I can easily get a feeling of homesickness.
Very untrue of me OR strongly disagree Not true of me OR disagree Sometimes true and sometimes not true OR undecided True of me OR agree Very true of me OR strongly agree
I pace back and forth often.
When a relationship ends, I often feel acutely anguished or distraught.
I enjoy high velocity sports (skiing, water-skiing, hang gliding, rock climbing, etc.)
I tend to fidget.
When I have an unpleasant feeling like anger or anxiety, it tends to linger in my mind.
I find that I'm late for a lot of appointments.
I'm the sort of person who holds a grudge.
I drink more caffeine (tea, coffee, cola, energy drinks, etc.) than most people.
I enjoy driving fast.
I'm the sort of person who gets lonely pretty quickly if I'm not around other people.
At times, I've gotten so mad in the car that I've yelled out loud or pounded on the steering wheel.
I tend to second guess myself.
I am a messy person.
Very untrue of me OR strongly disagree Not true of me OR disagree Sometimes true and sometimes not true OR undecided True of me OR agree Very true of me OR strongly agree
It is hard for me to read things that don't really interest me.
I often go back and check my work when it's done, just to be sure I did it correctly.
I get frustrated pretty easily.
I have had at least one anxiety attack in my life.
I'm naturally athletic and coordinated.
I have a hard time getting started on projects.
If I'm going somewhere and I've never been there before, I often consult a map.
I tend to procrastinate, and then try to do the majority of my work right before it absolutely has to be done.
I often get a feeling of being defeated before even starting a project.
When I'm starting a project that has a number of sub-tasks associated with it, it's hard for me to know how to prioritize or rank-order them in terms of importance.
I spend a lot of time doing tasks that aren't very important, even if there are tasks that are much more important that I should be working on.
If female: I have moodiness, depression, or irritability just before my period starts. If male: I tend to ejaculate within just a few minutes of starting sex.

 

FOCD

Here are a number of characteristics that may or may not apply to you. Next to each statement, please indicate the extent to which you agree or disagree with that statement.
Strongly Disagree Moderately Disagree No Opinion Moderately Agree Strongly Agree
I want everything to be "just right."
I seldom feel blue.
I question my ability to do my work properly.
I am not bothered by messy people.
I am filled with doubts about things.
I like order.
I feel comfortable with myself
I like to tidy up.
I am afraid that I will do the wrong thing.
I am not bothered by disorder.
I dislike myself.
I follow a schedule.
I remain calm under pressure.
I mess things up.
I want everything to add up perfectly.
I leave a mess in my room.
I excel in nothing at all.
I complete tasks successfully.
I continue until everything is perfect.
I leave my belongings around.

 

IGQ (ŠO'Connor & Berry)

These are questions about your emotions. Please answer using the 1 to 5 response scale indicated.
Very untrue of me OR strongly disagree Not true of me OR disagree Sometimes true and sometimes not true OR undecided True of me OR agree Very true of me OR strongly agree
I conceal or minimize my successes.
I worry a great deal about my parents, or children, or siblings.
It makes me very uncomfortable to receive better treatment than the people I am with.
I am afraid to fully enjoy my successes because I fear something bad is just around the corner.
I often find myself doing what someone else wants me to do rather than doing what I would most enjoy.
I worry about hurting other people's feelings if I turn down an invitation from somebody who is eager for me to accept.
I sometimes feel that I don't deserve the happiness I've achieved.
I feel responsible at social gatherings for people who are not able to enter into conversations with others.
It is very hard for me to cancel plans if I know the other person is looking forward to seeing me.
I worry a lot about the people I love even when they seem to be fine.
I generally have trouble saying "no" to people, i.e. refusing other people's deadlines.
Very untrue of me OR strongly disagree Not true of me OR disagree Sometimes true and sometimes not true OR undecided True of me OR agree Very true of me OR strongly agree
I can't stand the idea of hurting someone else.
I am uncomfortable talking about my achievements in social situations.
If my child, spouse or close friends have a problem, I am very tempted to try to solve it for them.
It makes me very uncomfortable if I am more successful at something than are my friends or family members.
I feel uncomfortable when I feel better than other people.
I feel uncomfortable when other people envy me for what I have.
If something goes wrong in the family, I tend to ask myself how I could have prevented it.
I tend to get somewhat depressed after important accomplishments.
I am afraid to get what I want because I feel there will be a price to pay that I did not anticipate.
It is easy for me to say "no" to others.
It is often hard for me to enjoy things I've been looking forward to.

 

CESD

Select the answer that best describes your situation over the past week.
During the Past Week: Rarely or none of the time
(less than 1 day)
Some or little of the time
(1-2 days)
Occasionally or a moderate amount of time
(3-4 days)
Most or all of the time
(5-7 days)
I was bothered by things that usually don't bother me.
I did not feel like eating; my appetite was poor.
I felt that I could not shake off the blues even with help from my family or friends.
I felt that I was just as good as other people.
I had trouble keeping my mind on what I was doing.
I felt depressed.
I felt that everything I did was an effort.
I felt hopeful about the future.
I thought my life had been a failure.
I felt fearful.
My sleep was restless.
I was happy.
I talked less than usual.
I felt lonely.
People were unfriendly.
I enjoyed life.
I had crying spells.
I felt sad.
I felt people disliked me.
I could not get "going".

 

GAT

These are questions about what tyoe of person you are. Accordingly, we are asking you to rate all the items below that describe you throughout most of your life. Please answer using the 1 to 5 response scale indicated.
Disagree Strongly Disagree a little Neither agree nor disagree Agree a little Agree Strongly
I have been a worrier for as long as I can remember.
I'm always worrying about one thing or another.
I keep on worrying about daily matters that others consider minor.
I cannot help worrying.
Many people have told me not to worry so much.
My mind often goes blank.
I am unable to relax.
I often feel jittery inside.
My hands often tremble.
I often have an upset stomach.
When I'm nervous, I may have diarrhea.
When I'm nervous, I often feel nauseous.
When I'm nervous, I have to go to the bathroom more often.
Disagree Strongly Disagree a little Neither agree nor disagree Agree a little Agree Strongly
When someone is late coming home, I fear they may have had an accident.
I am often fearful of someone in my family coming down with a serious disease.
I'm always thinking someone might break bad news to me about a family member.
My sleep is not restful.
I frequently have difficulty falling asleep.
I am, by nature, a very cautious person.
I often wake up at night fearful that burglars are in the house.
I easily get headaches when stressed.
When stressed, I get an uncomfortable feeling in my chest.
I'm an insecure person.
Even minor changes in routine stress me highly.
While driving, even when I haven't done anything wrong, I fear that police may stop me.
Sudden noises startle me easily.

 

Jasper-Goldberg Scale

These are more questions about your characteristics. Accordingly, we are asking you to rate all the items below that describe you throughout most of your life. Please answer using the 1 to 5 response scale indicated.
Not at all Just a little Somewhat Moderately Quite a lot Very much
At home, work, or school, I find my mind wandering from tasks that are uninteresting or difficult.
I find it difficult to read written material unless it is very interesting or very easy.
Especially in groups, I find it hard to stay focused on what is being said in conversations.
I have a quick temper -- a short fuse.
I get upset by minor annoyances.
I say things without thinking, and later regret having said them.
I make quick decisions without thinking enough about their possible bad results.
My relationships with people are made difficult by my tendency to talk first and think later.
My moods have highs and lows.
I have trouble planning in what order to do a series of tasks or activities.
I easily become upset.
I seem to be thin skinned and many things upset me.
Not at all Just a little Somewhat Moderately Quite a lot Very much
I almost always am on the go.
I am more comfortable when moving than when sitting still.
In conversations, I start to answer questions before the questions have been fully asked.
I usually work on more than one project at a time, and fail to finish many of them.
There is a lot of "static" or "chatter" in my head.
Even when sitting quietly, I am usually moving my hands or feet.
In group activities it is hard for me to wait my turn.
My mind gets so cluttered that it is hard for it to function.
My thoughts bounce around as if my mind were a pinball machine.
My brain feels as if it were a television set with all the channels going at once.
I am unable to stop daydreaming.
I am distressed by the disorganized way my brain works.

 

BFI-44

Here are a number of characteristics that may or may not apply to you. For example, do you agree that you are someone who likes to spend time with others? Next to each statement, please indicate the extent to which you agree or disagree with that statement.
I see myself as someone who... Strongly Disagree Moderately Disagree No Opinion Moderately Agree Strongly Agree
Is talkative
Tends to find fault with others
Does a thorough job
Is depressed, blue
Is original, comes up with new ideas
Is reserved
Is helpful and unselfish with others
Can be somewhat careless
Is relaxed, handles stress well
Is curious about many different things
Is full of energy
Starts quarrels with others
Is a reliable worker
Can be tense
Is ingenious, a deep thinker
Generates a lot of enthusiasm
Has a forgiving nature
Tends to be disorganized
Worries a lot
Has an active imagination
Tends to be quiet
Is generally trusting
I see myself as someone who... Strongly Disagree Moderately Disagree No Opinion Moderately Agree Strongly Agree
Tends to be lazy
Is emotionally stable, not easily upset
Is inventive
Has an assertive personality
Can be cold and aloof
Perseveres until the task is finished
Can be moody
Values artistic, aesthetic experiences
Is sometimes shy, inhibited
Is considerate and kind to almost everyone
Does things efficiently
Remains calm in tense situations
Prefers work that is routine
Is outgoing, sociable
Is sometimes rude to others
Makes plans and follows through with them
Gets nervous easily
Likes to reflect, play with ideas
Has few artistic interests
Likes to cooperate with others
Is easily distracted
Is sophisticated in art, music, or literature

 

CQ

These are questions about childhood experiences. Please answer using the 1 to 5 response scale indicated.
Not at all True of me Slightly True of me Moderately True of me Very True of me Extremely True of me
My parents were very strict with me.
My parents were very permissive with me.
My parents punished me by spanking, whipping, and/or hitting me.
My parents punished me by avoiding me.
My parents paid very little attention to me.
My parents paid more attention to me than I wanted.
My parents often made me feel guilty.
My parents often made me feel ashamed.


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