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 allA little bitModeratelyQuite a hitExtremely

2. Nervousness or shakiness inside

Not at allA little bitModeratelyQuite a hitExtremely

3. Unwanted thoughts or ideas that won’t leave your head

Not at allA little bitModeratelyQuite a hitExtremely

4. Faintness or dizziness

Not at allA little bitModeratelyQuite a hitExtremely

5. Loss of sexual interest or pleasure

Not at allA little bitModeratelyQuite a hitExtremely

6. Feeling critical of others

Not at allA little bitModeratelyQuite a hitExtremely

7. The idea that someone else can control your thoughts

Not at allA little bitModeratelyQuite a hitExtremely

8. Feeling others are to blame for most of your troubles

Not at allA little bitModeratelyQuite a hitExtremely

9. Trouble remembering things

Not at allA little bitModeratelyQuite a hitExtremely

10. Worried about sloppiness or carelessness

Not at allA little bitModeratelyQuite a hitExtremely

11. Feeling easily annoyed or irritated

Not at allA little bitModeratelyQuite a hitExtremely

12. Pains in heart or chest

Not at allA little bitModeratelyQuite a hitExtremely

13. Feeling afraid in open spaces or on the street

Not at allA little bitModeratelyQuite a hitExtremely

14. Feeling low in energy or slowed down

Not at allA little bitModeratelyQuite a hitExtremely

15. Thoughts of ending life

Not at allA little bitModeratelyQuite a hitExtremely

16. Hearing voices that other people do not hear

Not at allA little bitModeratelyQuite a hitExtremely

17. Trembling

Not at allA little bitModeratelyQuite a hitExtremely

18. Feeling that most people cannot be trusted

Not at allA little bitModeratelyQuite a hitExtremely

19. Poor appetite

Not at allA little bitModeratelyQuite a hitExtremely

20. Crying easily

Not at allA little bitModeratelyQuite a hitExtremely

21. Feeling shy or uneasy with the opposite sex

Not at allA little bitModeratelyQuite a hitExtremely

22. Feeling of being trapped or caught

Not at allA little bitModeratelyQuite a hitExtremely

23. Suddenly scared for no reason

Not at allA little bitModeratelyQuite a hitExtremely

24. Temper outbursts that you could not control

Not at allA little bitModeratelyQuite a hitExtremely

25. Feeling afraid to go out of your house alone

Not at allA little bitModeratelyQuite a hitExtremely

26. Blaming yourself for things

Not at allA little bitModeratelyQuite a hitExtremely

27. Pains in lower back

Not at allA little bitModeratelyQuite a hitExtremely

28. Feeling blocked in getting things done

Not at allA little bitModeratelyQuite a hitExtremely

29. Feeling lonely

Not at allA little bitModeratelyQuite a hitExtremely

30. Feeling blue

Not at allA little bitModeratelyQuite a hitExtremely

31. Worrying too much about things

Not at allA little bitModeratelyQuite a hitExtremely

32. Feeling no interest in things

Not at allA little bitModeratelyQuite a hitExtremely

33. Feeling fearful

Not at allA little bitModeratelyQuite a hitExtremely

34. Your feelings being easily hurt

Not at allA little bitModeratelyQuite a hitExtremely

35. Other people being aware of your private thoughts

Not at allA little bitModeratelyQuite a hitExtremely

36. Feeling others do not understand you or are unsympathetic

Not at allA little bitModeratelyQuite a hitExtremely

37. Feeling that people are unfriendly

Not at allA little bitModeratelyQuite a hitExtremely

38. Having to do things very slowly

Not at allA little bitModeratelyQuite a hitExtremely

39. Heart pounding or racing

Not at allA little bitModeratelyQuite a hitExtremely

40. Nausea or upset stomach

Not at allA little bitModeratelyQuite a hitExtremely

41. Feeling inferior to others

Not at allA little bitModeratelyQuite a hitExtremely

42. Soreness of your muscles

Not at allA little bitModeratelyQuite a hitExtremely

43. Feeling that you are watched or talked about by others

Not at allA little bitModeratelyQuite a hitExtremely

44. Trouble falling asleep

Not at allA little bitModeratelyQuite a hitExtremely

45. Having to check and double check what you do

Not at allA little bitModeratelyQuite a hitExtremely

46. Difficulty making decisions

Not at allA little bitModeratelyQuite a hitExtremely

47. Feeling afraid to travel on buses, subways or trains

Not at allA little bitModeratelyQuite a hitExtremely

48. Trouble getting your breath

Not at allA little bitModeratelyQuite a hitExtremely

49. Hot or cold spells

Not at allA little bitModeratelyQuite a hitExtremely

50. Having to avoid certain things, places or activities

Not at allA little bitModeratelyQuite a hitExtremely

51. Your mind going blank

Not at allA little bitModeratelyQuite a hitExtremely

52. Numbness or tingling in parts of your body

Not at allA little bitModeratelyQuite a hitExtremely

53. A lump in your throat

Not at allA little bitModeratelyQuite a hitExtremely

54. Feeling hopeless about the future

Not at allA little bitModeratelyQuite a hitExtremely

55. Trouble concentrating

Not at allA little bitModeratelyQuite a hitExtremely

56. Feeling weak in parts of your body

Not at allA little bitModeratelyQuite a hitExtremely

57. Feeling tense or keyed up

Not at allA little bitModeratelyQuite a hitExtremely

58. Heavy feelings in your arms or legs

Not at allA little bitModeratelyQuite a hitExtremely

59. Thoughts of death or dying

Not at allA little bitModeratelyQuite a hitExtremely

60. Overeating

Not at allA little bitModeratelyQuite a hitExtremely

61. Feeling uneasy when people are watching or talking about you

Not at allA little bitModeratelyQuite a hitExtremely

62. Having thoughts that are not your own

Not at allA little bitModeratelyQuite a hitExtremely

63. Having urges to beat, injure or harm someone

Not at allA little bitModeratelyQuite a hitExtremely

64. Awakening in the early morning

Not at allA little bitModeratelyQuite a hitExtremely

65. Having to repeat the same actions such as touching, counting, washing

Not at allA little bitModeratelyQuite a hitExtremely

66. Sleep that is restless or disturbed

Not at allA little bitModeratelyQuite a hitExtremely

67. Having urges to break or smash things

Not at allA little bitModeratelyQuite a hitExtremely

68. Having ideas or beliefs that others do not share

Not at allA little bitModeratelyQuite a hitExtremely

69. Feeling very self-conscious with others

Not at allA little bitModeratelyQuite a hitExtremely

70. Feeling uneasy in crowds such as shopping or at a movie

Not at allA little bitModeratelyQuite a hitExtremely

71. Feeling everything is an effort

Not at allA little bitModeratelyQuite a hitExtremely

72. Spells or terror or panic

Not at allA little bitModeratelyQuite a hitExtremely

73. Feeling uncomfortable about eating or drinking in public

Not at allA little bitModeratelyQuite a hitExtremely

74. Getting into frequent arguments

Not at allA little bitModeratelyQuite a hitExtremely

75. Feeling nervous when you are left alone

Not at allA little bitModeratelyQuite a hitExtremely

76. Others not giving you proper credit for your achievements

Not at allA little bitModeratelyQuite a hitExtremely

77. Feeling lonely even when you are with people

Not at allA little bitModeratelyQuite a hitExtremely

78. Feeling so restless you couldn’t sit still

Not at allA little bitModeratelyQuite a hitExtremely

79. Feeling of worthlessness

Not at allA little bitModeratelyQuite a hitExtremely

80. Feeling that familiar things are strange or unreal

Not at allA little bitModeratelyQuite a hitExtremely

81. Shouting or throwing things

Not at allA little bitModeratelyQuite a hitExtremely

82. Feeling afraid you will faint in public

Not at allA little bitModeratelyQuite a hitExtremely

83. Feeling that people will take advantage of you if you let them

Not at allA little bitModeratelyQuite a hitExtremely

84. Having thoughts about sex that bother you a lot

Not at allA little bitModeratelyQuite a hitExtremely

85. The idea that should be punished for your sins

Not at allA little bitModeratelyQuite a hitExtremely

86. Feeling pushed to get things done

Not at allA little bitModeratelyQuite a hitExtremely

87. The idea that something serious is wrong with your body

Not at allA little bitModeratelyQuite a hitExtremely

88. Never feeling close to another person

Not at allA little bitModeratelyQuite a hitExtremely

89. Feelings of guilt

Not at allA little bitModeratelyQuite a hitExtremely

90. The idea that something is wrong with your mind

Not at allA little bitModeratelyQuite a hitExtremely

91. Name

92. Gender:

MaleFemale

93. Age Group:

Under 1818–2526–3031–4041–5051–60Over 60

94. Marital Status:

MarriedSingle

95. Ethnicity:

96. Mobile Phone Number:

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