1. Do you have a hard time exteriorating your feelings to others?
A. Yes
B. No
C. You don't feel the need to share
D. You think so
2. Do you feel lonely sometimes?
A. All the time
B. Sometimes
C. Most of the time
D. Not at all
3. Do you have a hard time making fiends?
A. Yes
B. I like to keep to myself
C. Most of the time
D. No
4. Do people describe you as unfriendly?
A. Sometimes
B. Most of the time
C. You never checked with others
D. No
5. Are you unhappy with your life?
A. Yes
B. No
C. Sometimes
D. I never thought about it
6. Do you think of suicide sometimes?
A. Yes
B. No
C. Sometimes when I am sad
D. Not often
7. Is it hard for you to fall asleep most of the time
A. No
B. Yes
C. Sometimes
D. Not really
8. Do you suffer from mood swings sometimes?
A. Yes
B. Sometimes
C. Not much
D. No
9. Do you stay indoors sometimes not wanting to interact with anyone?
A. Yes
B. No
C. Sometimes
D. Yes, but it’s rare
10. Are you stressed all the time?
A. Yes, a lot
B. Sometimes
C. Not necessarily comfortable talking about the worries
D. No
