0
1
2
3
4
In the last month, how often did you get upset due to something that happened unexpectedly?
In the last month, how often did you feel that you could not control important things in your life?
In the last month, how often did you feel nervous and “stressed”?
In the last month, how often did you feel confident in your ability to deal with personal problems?
In the last month, how often did you feel that things were going the way you wanted?
In the last month, how often did you feel that you could not cope with everything you had to do?
In the last month, how often were you able to control irritations in your life?
In the last month, how often did you feel that you had everything under control?
In the last month, how often did you get irritated because of something out of your control?
In the last month, how often did you feel that difficulties were piling up to the point that you could not overcome them?