. I find it fascinating to learn new information
Anxiety (Worry, fear, or over-concern for present or future. Rate solely on the basis of verbal report of patient’s own subjective experiences. Do not infer anxiety from physical signs or from neurotic defense mechanisms.)
Are there any expected benefits to participants?
Are you currently involved in regular volunteer work?
Asking caregivers to speak about their emotions
At times I think I am not good at all.
Avoid risk (particularly, of failure)
Can easily and accurately describe her special strengths and positive qualities
Can’t concentrate, short attention span
Clings to adults or is too dependent
CONCEPTUAL DISORGANIZATION (Degree to which the thought processes are confused. Rate on the basis of integration of the verbal products of the patient; do not rate on the basis of patient’s subjective impression of his own level of functioning.)
Considerate of other people’s feelings
Constantly seeking excitement or ‘thrills’
De los siguientes servicios ¿Cuál estás más dispuesto a ofrecer a otros durante este tiempo?
Degree of concern over present bodily health. Rate the degree to which physical health is perceived as a problem by the patient, whether complaints have a realistic basis or not.
Dislike being in new situations – new colleagues, new bosses, new premises etc.
Do you attend any classes (school, university, technical training, or adult education) on a regular basis?
Do you believe more should be done to prevent animal abuse where you live?
Do you need additional help in this area?
Does not share with friends
Does not want to sleep alone
Don't like sudden changes
Drink alcohol (beer, wine, hard liquor), or use drugs or illegal substances?
Eat a lot more or less than usual?
EMOTIONAL WITHDRAWAL(Deficiency in relating to the interviewer and to the interviewer situation. Rate only the degree to which the patient gives the impression of failing to be in emotional contact with other people in the interview situation.)
Establishing confidante relationships with caregivers
Establishing confidante relationships with caregivers.
Fears you will reject her/him
Feel nervous and/or shy around other people?
Feel threatened or bullied by others?
Feels victimized or misunderstood
Focuses mostly on her strengths instead of weaknesses and past failures
GUILT FEELINGS Over-concern or remorse for past behavior. Rate on the basis of the patient’s subjective experiences of guilt as evidenced by verbal report with appropriate affect
Has a few developed hobbies and interests that encourage natural strengths
Has no energy, feels tired
Have a hard time having fun?
Have any potential hazards been minimized? Including unwitting disclosure of medical condition or personal circumstance
Have patient, career, members of the public or staff been involved in the design/development of the project?
Have you been deliberately trying to limit the amount of food you eat to influence your shape or weight (whether or not you have succeeded)?
Have you ensured that no participant is excluded on the grounds of sexual orientation, age, gender, religious belief, ethnic group or disability?
Have you ensured that this work has not been done before?
Have you gone for long periods of time (8 waking hours or more) without eating anything at all in order to influence your shape or weight?
Have you had a definite desire to have an empty stomach with the aim of influencing your shape or weight?
Have you had a strong desire to lose weight?
Have you tried to exclude from your diet any foods that you like in order to influence your shape or weight (whether or not you have succeeded)?
Hits, bites, or pinches other children
How anxious did you feel yesterday?
How concerned are you about animal abuse?
How familiar are you with the mission and vision statement of the organization?
How happy did you feel yesterday?
How helpful were the training programs in doing your job better?
How many children do you have?
How many close friends do you have?
How many fellow students or teachers do you talk to at least once every 2 weeks?
How many members of your church or religious group do you talk to at least once every 2 weeks? (This includes at group meetings and services.)
How many of these friends do you see or talk to at least once every 2 weeks?
How many of these relatives do you see or talk to on the phone at least once every 2 weeks?
How many of your neighbors do you visit or talk to at least once every 2 weeks?
How many other relatives (other than your spouse, parents & children) do you feel close to?
How many people at work (other than those you supervise) do you talk to at least once every 2 weeks?
How often did you avoid something because of anxiety or fear?
How often did you feel good about yourself?
How often did you feel lonely?
How often did you feel tense or nervous?
How often did you feel unhappy or sad?
How often did you feel unproductive at work or other daily activities?
How often did you have a hard time getting along with family, friends or coworkers?
How often did you have a hard time paying attention?
How often did you have little or no energy?
How often did you have someone express concerns about your alcohol or drug use?
How often did you think about harming yourself?
How often do you feel close to people?
how often do you feel isolated from others?
How often do you feel left out?
How often do you feel outgoing and friendly?
How often do you feel shy?
How often do you feel that no one really knows you well?
How often do you feel that people are around you but not with you?
How often do you feel that there are people you can talk to?
How often do you feel that there are people you can turn to?
How often do you feel that there is no one you can turn to?
How often do you feel that you are "in tune" with the people around you?
How often do you feel that you are no longer close to anyone?
How often do you feel that you can find companionship when you want it?
How often do you feel that you lack companionship?
How often do you feel that your interests and ideas are not shared by those around you?
How often do you feel there are people who really understand you?
How often do you feel your relationships with others are not meaningful?
How often do you feel your work is appreciated?
How satisfied are you with the level of information access you have to do your job?
How satisfied are you with your life nowadays?
I always get low scores in my exam due to peer pressure.
I always have a cheerful effect on others
I am a person who can go with the flow
I am able to do things as well as most other people.
I am able to receive advice
I am always looking for experiences that challenge how I think about myself and the world.
I am anxious and fearful a lot of the time
I am confident that I can achieve what I set out to do
I am confident that I could deal efficiently with unexpected events.
I am happy much of the time
I am not feeling sad anymore
I am well satisfied about everything in my life
I argue or speak rudely to others
I can always manage to solve difficult problems if I try hard enough
I can find a friend when I need one.
I can fit in everything I want to
I can usually handle whatever comes my way.
I cannot focus on the class and teacher whenever I think about the pressure that is on me.
I certainly feel useless at times.
I communicate well with other people
I cut classes or skip school altogether
I desperately want to change the way that I look
I do not have fun with other people
I don't participate in activities that used to be fun
I don’t get along with other children.
I don’t take criticism personally.
I don’t tend to avoid conflict.
I dwell on the bad things that happen
I enjoy learning about subjects that are unfamiliar to me
I feel confdent that I can handle whatever comes my way
I feel confident and secure in my position
I feel confident to do things by myself
I feel fully mentally alert
I feel hopeful about my life
I feel I don't have much to be proud of
I feel pleased with myself
I feel that I have a number of good qualities.
I feel uncomfortable around successful people
I find it difficult to accept who I am
I find it easier to confide in people
I find it easier to make new friendships
I find it easier to trust people
I focus on all of my mistakes – and minimise what I achieve (I feel like a failure)
I frequently think negative thoughts about myself and others
I generally manage to keep things in perspective.
I get on well with people
I have a hard time making it through stressful events.
I have a positive attitude towards myself
I have been obsessed with a certain idea or project for a short time but later lost interest
I have been thinking about suicidal activities.
I have difficulty maintaining my focus on projects that take more than a few months to complete
I have headaches or feel dizzy
I have more fears than others my age
I have overcome setbacks to conquer an important challenge
I have REALLY high standards for myself and others (Perfectionist)
I influence where I can, rather than worrying about what I can’t influence.
I make a real effort to do those things that matter to me
I manage my stress levels well.
I never try new things – I might make a mistake
I often experience joy and elation
I often set a goal but later choose to pursue a different one
I respect other people’s property
I seek out situations where it is likely that I will have to think in depth about something.
I tend to bounce back quickly after hard times
I tend to take a long time to get over set-backs in my life.
I tend to think the worst is going to happen
I try to control events rather than being a victim of circumstances.
I usually come through difficult times with little trouble
I usually have a good influence on events
I view challenging situations as an opportunity to grow and learn.
I want to be alone than others my age
I would rather be the person my partner wants me to be than who I really am
I wouldn’t describe myself as an anxious person.
I wouldn’t describe myself as an anxious person.
I wouldn’t describe myself as an anxious person.
If I have a problem I can work it out
If I knew my partner's true feelings about some things I'd probably be disappointed or hurt
Impulsive (acts rashly, without thinking)
In a difficult spot, I turn at once to what can be done to put things right.
In the past week how often did you fantasize about your problems disappearing?
In the past week how often did you feel lucky?
In the past week how often did you feel tense or nervous?
In the past week how often did you feel the need to gamble?
In the past week how often did you feel worthless?
In the past week how often did you have a hard time controlling your temper?
In the past week how often did you have little or no energy?
In the past week how often did you have someone express concern about your gambling?
In the past week how often did you have someone express concerns about your alcohol or drug use?
In the past week how often did you have thoughts of harming yourself?
In the past week how often did you have too little or too much sleep?
In the past week how often did you worry about money?
Intimidated by challenges
Introduces session and explains its purpose
Is convinced that friends will reject her/him
Is nervous, high-strung, or tense
Is not as happy as other children
Is proud and confident in her abilities; enjoys being herself
Is shy with children he/she does not know
It does not take me long to recover from a stressful event.
It is easy for me to stick to my aims and accomplish my goals.
It is hard for me to snap back when something bad happens
It’s been hard to go to sleep or stay asleep
It’s easy for me to make new friends at school.
It’s easy for me to make new friends at school.
It’s hard for me to make friends.
I’m good at finding solutions to problems.
I’m good at working with other children
I’m good at working with other children
I’ve been able to make up my own mind about things
I’ve been dealing with problems well
I’ve been feeling close to other people
I’ve been feeling confident
I’ve been feeling good about myself
I’ve been feeling like I am useful
I’ve been feeling optimistic about the future
I’ve been feeling relaxed
I’ve been thinking clearly
I’ve done all the things I wanted to
I’ve felt edgy or nervous
Lots of things about me are good
Marca en esta lista lo que te ha ayudado más durante este tiempo.
May get things out of perspective
My feelings are out of my control
My health restricts me looking after myself or my home
My interests change from year to year.
My life has a sense of purpose
My problems have felt too much for me
My thoughts and feelings distressed me
New ideas and projects sometimes distract me from previous ones.
On the scale of 1-10 rate your commitment level towards the work you do
On the scale of 1-10 rate your confidence level
On the scale of 1-10 rate your control level
On the scale of 1-10 rate your emotional control
On the scale of 1-10 rate your life control
On the scale of 1-10 rate your overall mental toughness
Polite and friendly greeting.
Prefers to be with adults, rather than children
Reacts in an aggressive manner when contradicted or teased
Readily approaches children he/she does not know
Recognizes when someone is distressed and responds appropriately.
Relates to strangers ‘as if they were family’
Resolving conflicts within families.
Restless, overactive, cannot stay still for long
Setbacks don’t discourage me
Shows a willingness to understand someone else’s point of view
Shows sensitivity toward the needs and feelings of others
Since you’ve been employed with the organization, how often have you received training?
Sleep a lot more than you normally do?
Somatic concern (Degree of concern over present bodily health. Rate the degree to which physical health is perceived as a problem by the patient, whether complaints have a realistic basis or not.)
Some kids don’t get asked to play in games with classmates very often BUT Other kids often get asked to play in games by their classmates
Some kids don’t have a close friend who cares about their feelings BUT Other kids do have a close friend who cares about their feelings
Some kids have a teacher who helps them if they are upset or have a problem BUT Other kids don’t have a teacher who helps them if they are upset or have a problem
Some kids have classmates who like them the way they are BUT Other kids have classmates who wish they were different
Some kids have classmates who pay attention to what they say BUT Other kids have classmates who usually don’t pay attention to what they say
Some kids have classmates who sometimes make fun of them BUT Other kids don’t have classmates who make fun of them
Some kids have parents who don’t really understand them BUT Other kids have parents who really do understand them
Some kids have parents who don’t seem to want to hear about their children’s problems BUT Other kids have parents who do want to listen to their children’s problems
Some kids like to do fun things with a lot of other people BUT Other kids like to do fun things with just a few people
Speaking about support needs for pregnant women & caregivers.
Speaks mostly positively about herself, rarely negatively
Strategies for coping with stress (breathing and relaxation).
Strategies for coping with stress (breathing and relaxation).
Teaching caregivers how to identify causes of stress.
Tend to achieve minimum standards
Thanks to my resourcefulness, I know how to handle unforeseen situations.
The anxiety of doing something new makes me feel excited and alive
The day after drinking alcohol, I dread waking up in the morning.
The day after drinking alcohol, I felt very frightened when I awoke.
The day after drinking alcohol, I was frightened of meeting people first thing in the morning.
The day after drinking alcohol, I woke up absolutely drenched in sweat.
The day after drinking alcohol, I woke up feeling sweaty.
The day after drinking alcohol, my hands shook first thing in the morning
The day after drinking alcohol, my whole body shook violently first thing in the morning if I didn't have a drink.
The importance of daily routines and how to establish them.
The services available to caregivers and how to access them.
There is a gap between what I would like to do and what I have done
There is no evidence that child has been exposed to natural or man-made disasters.
There is no evidence that child has been exposed to war, political violence, or torture.
There is no evidence that child has been victimized or witnessed significant criminal activity.
There is no evidence that child has experienced physical abuse.
There is no evidence that child has witnessed family violence.
There is no evidence that child has witnessed or experienced violence in the community
There is no evidence that child has witnessed violence in the school setting.
There is no evidence that the child has experienced disruptions in caregiving and/or attachment losses.
There is no evidence that youth’s parents have ever engaged in criminal behavior.
There’s been someone I felt able to ask for help
To what extent do you think the things you do in your life are worthwhile?
Uncomfortable with competitive settings
When I am confronted with a problem, I can usually find several solutions.
When mad at someone, says bad things behind the other’s back
Will any reports/feedback include recommendations for improvement?
Will participants be assured that participation is voluntary and that they can refuse or withdraw at any time?
Will potential participants receive verbal or written information about the project?
Will results be presented in a way that does not identify individuals?
Will the outcomes be monitored and evaluated?
Will you ensure that all identifying data is removed and that all records (paper and computer) are anonymised
Will you ensure that potential recruits are not currently involved in any other surveys or Patient Focus and Public Involvement work?
¿A qué nivel sería beneficioso si esta organización ofreciese ideas prácticas para conectar con Dios?
¿A qué nivel sería beneficioso si esta organización ofreciese oportunidades de servir y ayudar a otros?
¿A qué nivel sería beneficioso si nuestra organización ofreciese conexión y comunidad?
¿A qué nivel sería de ayuda la oración y el apoyo emocional que ofrece esta organización?
¿A qué nivel te siente deprimido o ansioso?
¿A qué nivel te siente estresado?
¿A qué nivel te sientes aislado?
¿A qué nivel te sientes desconectado de Dios?
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Communications: Makerble® CRM Centralise everything you need to know about everyone you influence. Collaborate securely, communicate effectively.
Activities: Makerble® Scheduling Coordinate one-off and repeating events: take bookings, track attendance, collect feedback and measure impact
Insights: Makerble® Surveys Collect responses using trackable, anonymised or universal survey links that connect and compare before and after responses automatically
Reporting: Makerble® Impact Track, share and analyse progress towards everything that matters - effortless reporting, impressive results
