Symptom Checklist-90 (SCL-90)

Below is a list of problems and complaints that people sometimes have. Please read each one carefully. After you have done so, please choose which best describes how much that problem has bothered or distressed you during the past 4 weeks, including today. Choose only one for each problem and do not skip any items. There are no right or wrong answers. Please answer based on your actual experience. All questionnaires will be treated confidentially!
*
1. Headaches
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
2. Nervousness or shakiness inside
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
3. Unwanted thoughts or ideas that won’t leave your head
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
4. Faintness or dizziness
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
5. Loss of sexual interest or pleasure
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
6. Feeling critical of others
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
7. The idea that someone else can control your thoughts
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
8. Feeling others are to blame for most of your troubles
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
9. Trouble remembering things
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
10. Worried about sloppiness or carelessness
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
11. Feeling easily annoyed or irritated
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
12. Pains in heart or chest
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
13. Feeling afraid in open spaces or on the street
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
14. Feeling low in energy or slowed down
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
15. Thoughts of ending life
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
16. Hearing voices that other people do not hear
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
17. Trembling
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
18. Feeling that most people cannot be trusted
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
19. Poor appetite
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
20. Crying easily
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
21. Feeling shy or uneasy with the opposite sex
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
22. Feeling of being trapped or caught
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
23. Suddenly scared for no reason
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
24. Temper outbursts that you could not control
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
25. Feeling afraid to go out of your house alone
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
26. Blaming yourself for things
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
27. Pains in lower back
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
28. Feeling blocked in getting things done
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
29. Feeling lonely
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
30. Feeling blue
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
31. Worrying too much about things
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
32. Feeling no interest in things
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
33. Feeling fearful
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
34. Your feelings being easily hurt
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
35. Other people being aware of your private thoughts
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
36. Feeling others do not understand you or are unsympathetic
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
37. Feeling that people are unfriendly
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
38. Having to do things very slowly
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
39. Heart pounding or racing
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
40. Nausea or upset stomach
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
41. Feeling inferior to others
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
42. Soreness of your muscles
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
43. Feeling that you are watched or talked about by others
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
44. Trouble falling asleep
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
45. Having to check and double check what you do
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
46. Difficulty making decisions
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
47. Feeling afraid to travel on buses, subways or trains
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
48. Trouble getting your breath
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
49. Hot or cold spells
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
50. Having to avoid certain things, places or activities
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
51. Your mind going blank
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
52. Numbness or tingling in parts of your body
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
53. A lump in your throat
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
54. Feeling hopeless about the future
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
55. Trouble concentrating
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
56. Feeling weak in parts of your body
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
57. Feeling tense or keyed up
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
58. Heavy feelings in your arms or legs
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
59. Thoughts of death or dying
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
60. Overeating
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
61. Feeling uneasy when people are watching or talking about you
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
62. Having thoughts that are not your own
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
63. Having urges to beat, injure or harm someone
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
64. Awakening in the early morning
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
65. Having to repeat the same actions such as touching, counting, washing
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
66. Sleep that is restless or disturbed
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
67. Having urges to break or smash things
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
68. Having ideas or beliefs that others do not share
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
69. Feeling very self-conscious with others
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
70. Feeling uneasy in crowds such as shopping or at a movie
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
71. Feeling everything is an effort
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
72. Spells or terror or panic
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
73. Feeling uncomfortable about eating or drinking in public
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
74. Getting into frequent arguments
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
75. Feeling nervous when you are left alone
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
76. Others not giving you proper credit for your achievements
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
77. Feeling lonely even when you are with people
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
78. Feeling so restless you couldn’t sit still
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
79. Feeling of worthlessness
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
80. Feeling that familiar things are strange or unreal
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
81. Shouting or throwing things
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
82. Feeling afraid you will faint in public
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
83. Feeling that people will take advantage of you if you let them
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
84. Having thoughts about sex that bother you a lot
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
85. The idea that should be punished for your sins
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
86. Feeling pushed to get things done
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
87. The idea that something serious is wrong with your body
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
88. Never feeling close to another person
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
89. Feelings of guilt
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
90. The idea that something is wrong with your mind
Not at all
A little bit
Moderately
Quite a hit
Extremely
*
91. Name
*
92. Gender:
Male
Female
*
93. Age Group:
Under 18
18–25
26–30
31–40
41–50
51–60
Over 60
*
94. Marital Status:
Married
Single
*
95. Ethnicity:
*
96. Mobile Phone Number:
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