Please read each of the following statements carefully to determine the degree of compliance with your feelings or behaviors. Please mark “√” on the corresponding number. Instead of spending too much time thinking about each statement, just answer your actual feelings.
| Item | Strongly agree | …………………… | Strongly disagree | ||
| 1. I never dare to say what I think. | 1 | 2 | 3 | 4 | 5 |
| 2. I feel life is always full of uncertainty and unpredictability. | 1 | 2 | 3 | 4 | 5 |
| 3. I am used to giving up my wishes and demands. | 1 | 2 | 3 | 4 | 5 |
| 4. I always worry about what will happen. | 1 | 2 | 3 | 4 | 5 |
| 5. I never dare to refuse a friend’s request. | 1 | 2 | 3 | 4 | 5 |
| 6. When I am unhappy, I always feel sullen or cry alone. | 1 | 2 | 3 | 4 | 5 |
| 7. I always feel unlucky. | 1 | 2 | 3 | 4 | 5 |
| 8. People say I am a shy and flinching person.
|
1 | 2 | 3 | 4 | 5 |
| 9. I’m always worried that a good friendship will deteriorate. | 1 | 2 | 3 | 4 | 5 |
| 10. I usually stay away from leaders. | 1 | 2 | 3 | 4 | 5 |
| 11. I often worry about losing control of my thoughts or emotions. | 1 | 2 | 3 | 4 | 5 |
| 12. I always refrain from asking for anything. | 1 | 2 | 3 | 4 | 5 |
| 13. I always worry about my life becoming a mess. | 1 | 2 | 3 | 4 | 5 |
| 14. I feel unable to cope with the sudden dangers in my life. | 1 | 2 | 3 | 4 | 5 |
| 15. I am afraid of building and maintaining close relationships with others. | 1 | 2 | 3 | 4 | 5 |
| 16. No matter what others say, I think I’m useless. | 1 | 2 | 3 | 4 | 5 |