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.
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Very untrue of me OR strongly disagree
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Not true of me OR disagree
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Sometimes true and sometimes not true OR undecided
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True of me OR agree
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Very true of me OR strongly agree
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I am a moody person.
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Being stuck in traffic really bothers me.
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My mood tends to decline noticeably in the winter months.
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I tend to blurt things out and later regret having said them.
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I enjoy strenuous exercise.
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I tend to be a light sleeper.
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I often stop working on a task or project before finishing it.
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I think of myself as an anxious person or as a worrier.
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I balance my checkbook regularly.
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It is hard for me to sit at a desk and work without getting up and moving around.
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My thoughts are organized.
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I get speeding tickets more often than most people.
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I often feel intimidated when I'm faced with people in authority - judges, police officers, supervisors, etc.
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Very untrue of me OR strongly disagree
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Not true of me OR disagree
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Sometimes true and sometimes not true OR undecided
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True of me OR agree
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Very true of me OR strongly agree
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When I try to go to sleep at night, I often find that my mind doesn't shut off.
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In conversations, my mind tends to wander away from what the other person is saying.
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I lose my temper easily.
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I get more parking tickets than most people.
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I get migraine headaches.
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I really enjoy being outdoors in nature.
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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.
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I have irregular bowel movements.
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Waiting in lines really bothers me.
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In the winter, I find it a lot harder to get up in the morning.
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I have had a problem with drinking too much.
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People complain that I interrupt them.
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When away from home, I can easily get a feeling of homesickness.
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Very untrue of me OR strongly disagree
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Not true of me OR disagree
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Sometimes true and sometimes not true OR undecided
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True of me OR agree
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Very true of me OR strongly agree
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I pace back and forth often.
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When a relationship ends, I often feel acutely anguished or distraught.
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I enjoy high velocity sports (skiing, water-skiing, hang gliding, rock climbing, etc.)
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I tend to fidget.
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When I have an unpleasant feeling like anger or anxiety, it tends to linger in my mind.
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I find that I'm late for a lot of appointments.
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I'm the sort of person who holds a grudge.
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I drink more caffeine (tea, coffee, cola, energy drinks, etc.) than most people.
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I enjoy driving fast.
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I'm the sort of person who gets lonely pretty quickly if I'm not around other people.
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At times, I've gotten so mad in the car that I've yelled out loud or pounded on the steering wheel.
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I tend to second guess myself.
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I am a messy person.
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Very untrue of me OR strongly disagree
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Not true of me OR disagree
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Sometimes true and sometimes not true OR undecided
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True of me OR agree
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Very true of me OR strongly agree
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It is hard for me to read things that don't really interest me.
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I often go back and check my work when it's done, just to be sure I did it correctly.
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I get frustrated pretty easily.
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I have had at least one anxiety attack in my life.
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I'm naturally athletic and coordinated.
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I have a hard time getting started on projects.
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If I'm going somewhere and I've never been there before, I often consult a map.
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I tend to procrastinate, and then try to do the majority of my work right before it absolutely has to be done.
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I often get a feeling of being defeated before even starting a project.
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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.
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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.
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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.
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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.
IGQ (ŠO'Connor & Berry)
These are questions about your emotions. Please answer using the 1 to 5 response scale indicated.
CESD
Select the answer that best describes your situation over the past week.
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.
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.
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.
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I see myself as someone who...
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Strongly Disagree
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Moderately Disagree
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No Opinion
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Moderately Agree
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Strongly Agree
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Is talkative
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Tends to find fault with others
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Does a thorough job
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Is depressed, blue
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Is original, comes up with new ideas
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Is reserved
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Is helpful and unselfish with others
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Can be somewhat careless
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Is relaxed, handles stress well
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Is curious about many different things
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Is full of energy
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Starts quarrels with others
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Is a reliable worker
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Can be tense
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Is ingenious, a deep thinker
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Generates a lot of enthusiasm
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Has a forgiving nature
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Tends to be disorganized
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Worries a lot
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Has an active imagination
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Tends to be quiet
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Is generally trusting
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I see myself as someone who...
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Strongly Disagree
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Moderately Disagree
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No Opinion
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Moderately Agree
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Strongly Agree
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Tends to be lazy
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Is emotionally stable, not easily upset
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Is inventive
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Has an assertive personality
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Can be cold and aloof
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Perseveres until the task is finished
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Can be moody
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Values artistic, aesthetic experiences
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Is sometimes shy, inhibited
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Is considerate and kind to almost everyone
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Does things efficiently
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Remains calm in tense situations
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Prefers work that is routine
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Is outgoing, sociable
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Is sometimes rude to others
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Makes plans and follows through with them
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Gets nervous easily
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Likes to reflect, play with ideas
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Has few artistic interests
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Likes to cooperate with others
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Is easily distracted
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Is sophisticated in art, music, or literature
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CQ
These are questions about childhood experiences. Please answer using the 1 to 5 response scale indicated.