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In The following questionnaire,I am going to ask you a variety of questions

some are connected with the problems you faced and some are general.There are

options for every single question.Please tick ( ) mark to only those answers

to which you strongly agree.You are required to tick mark only one answer of

each question.

Im simply interested in knowing your interest and perception of your

life.Please complete all the questions carefully as possible.

All your answers in the questionnaire will be treated as confidential

May I thank you for your co-operation

Mansoora Rizvi (Research Investigator)

PGDRP Student

Name: Age . Sex: .

Family Status: (Nuclear/Joint Broken)

Occupation: ...

Education: (Literate/Illiterate)

Mention Qualification, if Any .

Monthly Income:

Address: .

Rural/Urban: .

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1. Do you have loss of balance of your mind even under ordinary pressure?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

2. Do you sometimes feel that life is useless?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

3. Do you have constantly have strain in your nervous system?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time4. Do you feel lack of sleep?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

5. Do you generally think that life will remain sad?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

6. Do you generally feel that you are helpless?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

7. Do you generally work under the conditions of strain?a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

8. Do you feel that your life is in dark?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

9. Do you think life is full of despair?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

10. Do you generally have the feeling of loss rather than gain?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

11. Do you generally have the feeling of least failure?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

12. Do you generally afraid of seeing the crowd?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

13. Do you feel restless?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

14. Do you have less interest in other affair?.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

15. Do you attend parties?

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

16. Once you wake up,it is hard to get back to sleep

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

17. I feel down hearted, blue and sad?

a. None or little the time b. Some of the time

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c. Good part of time d. Most or all the time

18. I find it easy to do things, I used to

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

19. Morning is when I feel the best.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

20. I have trouble sleeping, through night.

a. None or little the time b. Some of the timec. Good part of time d. Most or all the time

21. I eat as much as I used to.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

22. I notice that I am loosing the weight.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

23. I have trouble with constipation.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

24. My heart beats faster than usual.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

25. My mind is as clear as it is used.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

26. I am restless and cant keep still.

a. None or little the time b. Some of the time

c. Good part of time d. Most or al l the time

27. I feel hopeful about the future.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

28. I am more irritable than usual.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

29. I find it easy to make decisions.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

30. I feel that others would be better off, if I were dead.

a. None or little the time b. Some of the time

c. Good part of time d. Most or all the time

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1. Are you happiest when you get involved in some project that calls for rapid action?

Yes ? No

2. Do you sometimes feel happy, sometimes depressed without any apparent reason?

Yes ? No

3. Do your mind often wander while you are trying to concentrate on some topic?

Yes ? No

4. Are you frequently lost in thoughts even when you are conversing?Yes ? No

5. Would you be unhappy if you were prevented form making social contacts?

Yes ? No

6. Do you have frequent ups and downs in your mood?

Yes ? No

7. Does your behavior keeps changing without any apparent cause?

Yes ? No

8. Are your day dreams frequently about things that can never come true?

Yes ? No

9 Are you inclined to ponder over your past?

Yes ? No

10. Do you find it difficult to mix with people even at lively party?

Yes ? No

11. Do you often feel that you have made up your mind too late to do something?

Yes ? No

13. Do you like to mix socially with people?

Yes ? No

14. Have you often lost sleep over your worries?

Yes ? No

15. Are you often troubled by feeling of sin or guilt?

Yes ? No

16. Do you feel rather hurt very easily?

Yes ? No17. Would you rate yourself as a tense or highly strung individual?

Yes ? No

18. Do you generally prefer to take the leadership in a group?

Yes ? No

19. Do you often experience periods of loneliness?

Yes ? No

20. Are you inclined to be shy in the presence of the opposite sex?

Yes ? No