EEG Study Questionnaire

Your answers to the questions below will help us to interpret individual differences in brainwave recordings. All your answers will be identified only by your subject number, not by your name. Your name will not be linked with your responses anywhere in our records, and the records themselves are kept strictly confidential. Although we hope that you answer each question honestly and carefully, you may leave questions blank if you are uncomfortable answering them.

Subject Number

On a scale from 0 to 10, with 0 as "no stress" and 10 as "very stressed", how stressed do you feel at this time? 0 1 2 3 4 5 6 7 8 9 10

Please indicate how much each statement describes your feelings during the testing session.

please choose one Not at all Somewhat Moderately so Very much so 1. I felt calm.

please choose one Not at all Somewhat Moderately so Very much so 2. I felt secure.

please choose one Not at all Somewhat Moderately so Very much so 3. I was tense.

please choose one Not at all Somewhat Moderately so Very much so 4. I was strained.

please choose one Not at all Somewhat Moderately so Very much so 5. I felt at ease.

please choose one Not at all Somewhat Moderately so Very much so 6. I felt upset.

please choose one Not at all Somewhat Moderately so Very much so 7. I was worrying over possible misfortunes.

please choose one Not at all Somewhat Moderately so Very much so 8. I felt satisfied.

please choose one Not at all Somewhat Moderately so Very much so 9. I felt frightened.

please choose one Not at all Somewhat Moderately so Very much so 10. I felt comfortable.

please choose one Not at all Somewhat Moderately so Very much so 11. I felt self-confident.

please choose one Not at all Somewhat Moderately so Very much so 12. I felt nervous.

please choose one Not at all Somewhat Moderately so Very much so 13. I felt jittery.

please choose one Not at all Somewhat Moderately so Very much so 14. I felt indecisive.

please choose one Not at all Somewhat Moderately so Very much so 15. I felt relaxed.

please choose one Not at all Somewhat Moderately so Very much so 16. I felt content.

please choose one Not at all Somewhat Moderately so Very much so 17. I felt worried.

please choose one Not at all Somewhat Moderately so Very much so 18. I felt confused.

please choose one Not at all Somewhat Moderately so Very much so 19. I felt steady.

please choose one Not at all Somewhat Moderately so Very much so 20. I felt pleasant.

The following are ways people react to various difficult, stressful, or upsetting situations. Please use the menu options to indicate how much you engage in these types of activities when you encounter a difficult, stressful, or upsetting situation.

please select one 1 -- not at all 2 3 4 5 -- very much 1.     Schedule my time better

please select one 1 -- not at all 2 3 4 5 -- very much 2.     Focus on the problem and see how I can solve it  
                            
please select one 1 -- not at all 2 3 4 5 -- very much 3.     Think about the good times I've had

please select one 1 -- not at all 2 3 4 5 -- very much 4.     Try to be with other people

please select one 1 -- not at all 2 3 4 5 -- very much 5.     Blame myself for procrastinating

please select one 1 -- not at all 2 3 4 5 -- very much 6.     Do what I think best

please select one 1 -- not at all 2 3 4 5 -- very much 7.     Preoccupied with aches and pains

please select one 1 -- not at all 2 3 4 5 -- very much 8.     Blame myself for having gotten into this situation

please select one 1 -- not at all 2 3 4 5 -- very much 9.     Window shop

please select one 1 -- not at all 2 3 4 5 -- very much 10.     Outline my priorities

please select one 1 -- not at all 2 3 4 5 -- very much 11.     Try to go to sleep

please select one 1 -- not at all 2 3 4 5 -- very much 12.     Treat myself to a favorite food or snack  
  
please select one 1 -- not at all 2 3 4 5 -- very much 13.     Feel anxious about not being able to cope 
                                      
please select one 1 -- not at all 2 3 4 5 -- very much 14.     Become very tense
                              
please select one 1 -- not at all 2 3 4 5 -- very much 15.     Think about how I have solved similar problems
                                      
please select one 1 -- not at all 2 3 4 5 -- very much 16.     Tell myself that it is really not happening to me
                               
please select one 1 -- not at all 2 3 4 5 -- very much 17.     Blame myself for being too emotional about the situation
                           
please select one 1 -- not at all 2 3 4 5 -- very much 18.     Go out for a snack or meal   
                 
please select one 1 -- not at all 2 3 4 5 -- very much 19.     Become very upset   
                           
please select one 1 -- not at all 2 3 4 5 -- very much 20.     Buy myself something 
                        
please select one 1 -- not at all 2 3 4 5 -- very much 21.     Determine a course of action and follow it  
                                  
please select one 1 -- not at all 2 3 4 5 -- very much 22.     Blame myself for not knowing what to do 
     
please select one 1 -- not at all 2 3 4 5 -- very much 23.     Go to a party 
                                
please select one 1 -- not at all 2 3 4 5 -- very much 24.     Work to understand the situation
              
please select one 1 -- not at all 2 3 4 5 -- very much 25.     "Freeze" and don't know what to do  
          
please select one 1 -- not at all 2 3 4 5 -- very much 26.     Take corrective action immediately      
     
please select one 1 -- not at all 2 3 4 5 -- very much 27.     Think about the event and learn from my mistakes   
                               
please select one 1 -- not at all 2 3 4 5 -- very much 28.     Wish that I could change what had happened or how I felt  
                      
please select one 1 -- not at all 2 3 4 5 -- very much 29.     Visit a friend    
                            
please select one 1 -- not at all 2 3 4 5 -- very much 30.     Worry about what I am going to do     
        
please select one 1 -- not at all 2 3 4 5 -- very much 31.     Spend time with a special person    
           
please select one 1 -- not at all 2 3 4 5 -- very much 32.     Go for a walk    
                             
please select one 1 -- not at all 2 3 4 5 -- very much 33.     Tell myself that it will never happen again  
                                      
please select one 1 -- not at all 2 3 4 5 -- very much 34.     Focus on my general inadequacies
              
please select one 1 -- not at all 2 3 4 5 -- very much 35.     Talk to someone whose advice I value
          
please select one 1 -- not at all 2 3 4 5 -- very much 36.     Analyze the problem before reacting
           
please select one 1 -- not at all 2 3 4 5 -- very much 37.     Phone a friend    
                            
please select one 1 -- not at all 2 3 4 5 -- very much 38.     Get angry       
                              
please select one 1 -- not at all 2 3 4 5 -- very much 39.     Adjust my priorities     
                     
please select one 1 -- not at all 2 3 4 5 -- very much 40.     See a movie  
                                 
please select one 1 -- not at all 2 3 4 5 -- very much 41.     Get control of the situation
                 
please select one 1 -- not at all 2 3 4 5 -- very much 42.     Make an extra effort to get things done

please select one 1 -- not at all 2 3 4 5 -- very much 43.     Come up with several different solutions to the problem

please select one 1 -- not at all 2 3 4 5 -- very much 44.     Take time off and get away from the situation
                                     
please select one 1 -- not at all 2 3 4 5 -- very much 45.     Take it out on other people       
            
please select one 1 -- not at all 2 3 4 5 -- very much 46.     Use the situation to prove that I can do it    
                                 
please select one 1 -- not at all 2 3 4 5 -- very much 47.     Try to be organized so I can be on top of the situation  
                       
please select one 1 -- not at all 2 3 4 5 -- very much 48.     Watch TV

 

Thank you for completing this questionnaire!

Please click on the submit button after you have answered all of the questions. Please press the button only once. Thank you!!

.