1. In the last month, how often have you been upset because of something that happened unexpectedly?  ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often 2. In the last month, how often have you felt that you were unable to control the important things in your life?  ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often

3. In the last month, how often have you felt nervous and "stressed"? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often

4. In the last month, how often have you felt confident about your ability to handle your personal problems? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often
5. In the last month, how often have you felt that things were going your way? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often

6. In the last month, how often have you found that you could not cope with all the things that you had to do? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often

7. In the last month, how often have you been able to control irritations in your life? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often

8. In the last month, how often have you felt that you were on top of things? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often
9. In the last month, how often have you been angered because of things that were outside of your control? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often

10. In the last month, how often have you felt difficulties wer piling up so high that you could not overcome them? ___0=never ___1=almost never ___2=sometimes ___3=fairly often ___4=very often​