In this first part of the questionnaire, please indicate the usual way that you try to change a bad mood. Note, that this question does not deal with the common effects of a bad mood; instead, it deals with how you try to change that bad mood. First, look over all the possible answers. Next, place an "x" mark next to activities that you usually use. Lastly, place the number "1" next to the activity that is your most common way
of trying to change a bad mood.
USUAL WAYS THAT YOU TRY TO CHANGE A BAD MOOD
___ Call, talk to, or be with someone.
___ Try to be alone.
___ Control thoughts (e.g., think positively, concentrate on something else, don't let things bother me, give myself a "pep talk.").
___ Evaluate or analyze the situation to determine mood cause.
___ Try to put feelings in perspective.
___ Exercise (This may include taking a walk).
___ Listen to music.
___ Rest, take a nap, close eyes, or sleep.
___ Engage in religious/spiritual activity.
___ Engage in emotional activity (e.g., cry, scream).
___ Change location (e.g., go for a drive, go outside).
___ Tend to chores (e.g., housework, schoolwork, gardening).
___ Engage in hobby.
___ Engage in pleasant (fun) activities.
___ Avoid thing (person) causing the bad mood.
___ Watch TV (movie).
___ Use humor (e.g., laugh, make light of situation).
___ Engage in self-gratification (e.g., pamper oneself).
___ Go shopping.
___ Use relaxation techniques (e.g., deep breathing, stretching & bending, muscle relaxation, massage, visualization).
___ Eat something.
___ Drink coffee or other caffeinated beverage.
___ Drink alcohol.
___ Smoke cigarettes.
___ Use drugs (other than alcohol, cigarettes or coffee).
___ Read or write.
___ Have sex.
___ Engage in stress management activities (e,g,, get organized, plan ahead, make lists).
___ Take shower/bath or splash water on face.
If your most common way to change a bad mood was not included above, please write it within the brackets below.
[
]
++ Please answer the following questions by circling the number that is closest to your answer. Please be absolutely honest.
a) When you are in a bad mood, and you use your most common way of changing that mood (marked #1), how successful are you?
| 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
Always
successful | | Mostly
successful | | Sometimes
successful | | Seldom
successful | | Never
successful |
------------------
b) When you are in a bad mood, and you use your most common way of changing that mood, but not your #1 way, how successful are you?
| 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
Always
successful | | Mostly
successful | | Sometimes
successful | | Seldom
successful | | Never
successful |
------------------
Part 2.
In this part of the questionnaire, please indicate what activities you
usually use to prepare yourself if you are tired (fatigued), and in a short while (within 30 seconds) you have something to do that requires alertness and attention (energy).
First, look over all the possible answers. Next, place an "x" mark next to the activity that is your most common way of preparing yourself.
USUAL WAYS OF PREPARING WHEN TIRED OR FATIGUED, AND ALERTNESS OR ATTENTION ARE REQUIRED
___ Rest, take a nap, close eyes, or sleep.
___ Drink coffee or other caffeinated beverage.
___ Exercise (This may include taking a walk).
___ Listen to music.
___ Evaluate or analyze the situation to determine the cause of the fatigue.
___ Eat something.
___ Control thoughts (e.g., give oneself a "pep talk.").
___ Change location (e.g., go for a drive, go outside).
___ Smoke a cigarette.
___ Use drugs (other than cigarettes or coffee).
___ Drink alcohol.
___ Use relaxation techniques (e.g., deep breathing, stretching & bending, muscle relaxation, massage).
___ Call, talk to, or to be with someone.
___ Go outside and get some fresh air.
___ Watch TV (movie).
___ Do something to keep busy.
If you most common way of energizing yourself was not included above, please write it within the brackets below.
[
]
++ Please answer the following questions by circling the number that is closest to your answer. Please be absolutely honest.
a) When you are tired and you must energize yourself, and you use your most common way of doing that (marked #1), how successful are you?
| 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
Always
successful | | Mostly
successful | | Sometimes
successful | | Seldom
successful | | Never
successful |
------------------
b) When you are tired and you must energize yourself, and you use one of your usual ways of changing that mood, but not your #1 way, how successful are you?
| 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
Always
successful | | Mostly
successful | | Sometimes
successful | | Seldom
successful | | Never
successful |
------------------
Part 3
In this part of the questionnaire, please indicate what activities you usually use if you are nervous, tense or anxious, and you try to reduce that feeling. Note, that this question does not deal with the common effects of nervousness, tension
or anxiety; instead, it deals with how you try to change that condition.
First, look over all the possible answers. Next, place an "x" mark next to activities that you usually use. Lastly, place the number "1" next to the activity that is your most common way of preparing yourself.
USUAL WAYS OF REDUCING NERVOUSNESS, TENSION OR ANXIETY
___ Call, talk to, or be with someone.
___ Exercise (This may include taking a walk).
___ Use relaxation techniques (e.g., deep breathing, stretching & bending, muscle relaxation, massage, visualization).
___ Rest, take a nap, close eyes, or sleep.
___ Listen to music.
___ Control thoughts (e.g., think calming thoughts, tell oneself to calm down, try not to think about problem or situation).
___ Eat something.
___ Tend to chores (e.g., housework, schoolwork, gardening).
___ Engage in hobby.
___ Engage in emotional activity (e.g., cry, scream).
___ Engage in nervous behavior (e.g., pacing, bite nails, bite pencil).
___ Go shopping.
___ Watch TV (movie).
___ Engage in stress management activities (e.g., get organized, plan ahead, make lists).
___ Read or write.
___ Take shower/bath/Jacuzzi, or splash water on face.
___ Don't drink coffee or caffeinated beverage.
___ Drink alcohol.
___ Smoke cigarettes.
___ Use drugs (other than alcohol, cigarettes or coffee).
___ Have sex.
___ Engage in religious/spiritual activity.
If your most common way of reducing tension was not included above, please write it within the brackets below.
[
]
++ Please answer the following question by circling the number that is closest to your answer. Please be absolutely honest.
a) When you are nervous, tense, or anxious, and you use your most common way of changing that feeling (marked #1), how successful are you?
| 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
Always
successful | | Mostly
successful | | Sometimes
successful | | Seldom
successful | | Never
successful |
------------------
b) When you are nervous, tense, or anxious, and you use one of your usual ways of changing that mood, but your #1 way, how successful are you?
| 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
Always
successful | | Mostly
successful | | Sometimes
successful | | Seldom
successful | | Never
successful |
------------------
Demographic Characteristics
male________ female__________
age_________
Number of years of formal education completed (e.g., high school = 12; college = 16; graduate school = ?)_________
Present occupation__________________________
Weight (circle the number that applies):
| 5 | 4 | 3 | 2 | 1 |
very
overweight | overweight | average | underweight | very
underweight |