Thoughts and Schizophrenia

The purpose of this study is to gain an understanding of thoughts and beliefs and how those thoughts and beliefs manifest themselves. You must be at least 18 years of age to participate in this survey.
Some of the questions are very personal, but this survey is completely anonymous and your identifying information will neither be collected nor reported. You can stop this survey at any time if you do not feel comfortable.
For more information please email anne.whitney@northwestu.edu
Anne Whitney, MAc
Northwest University
Kirkland, WA
USA

1. Age?

Age? 18-30

31-50

51-70

70+

2. Sex?

Sex? Male

Female

3. Please indicate how strongly the following statements have suited you -throughout your lifetime-.

	Not at all	Rarely	Sometimes	Often	Very often
I have been afraid of being abandoned.	Please indicate how strongly the following statements have suited you -throughout your lifetime-. I have been afraid of being abandoned. Not at all	Rarely	Sometimes	Often	Very often
I have been unwilling to let anyone get in the way of what I want.	I have been unwilling to let anyone get in the way of what I want. Not at all	Rarely	Sometimes	Often	Very often
I have trusted people.	I have trusted people. Not at all	Rarely	Sometimes	Often	Very often
I have felt like I needed too much support from friends and family.	I have felt like I needed too much support from friends and family. Not at all	Rarely	Sometimes	Often	Very often
I think I will fail at everything I try.	I think I will fail at everything I try. Not at all	Rarely	Sometimes	Often	Very often
I have felt afraid that I would be unlovable if people got to know me.	I have felt afraid that I would be unlovable if people got to know me. Not at all	Rarely	Sometimes	Often	Very often
I have felt self confident.	I have felt self confident. Not at all	Rarely	Sometimes	Often	Very often
I have felt ashamed of my own inadequacies.	I have felt ashamed of my own inadequacies. Not at all	Rarely	Sometimes	Often	Very often
I have found myself sacrificing my own needs to satisfy other people's needs.	I have found myself sacrificing my own needs to satisfy other people's needs. Not at all	Rarely	Sometimes	Often	Very often
I have felt undesirable to others.	I have felt undesirable to others. Not at all	Rarely	Sometimes	Often	Very often
I have felt very afraid that something bad will happen to me.	I have felt very afraid that something bad will happen to me. Not at all	Rarely	Sometimes	Often	Very often
I have found myself afraid of losing control of my behavior.	I have found myself afraid of losing control of my behavior. Not at all	Rarely	Sometimes	Often	Very often
I have thought I'm a bad person, deserving to be punished.	I have thought I'm a bad person, deserving to be punished. Not at all	Rarely	Sometimes	Often	Very often
I have believed that no one will ever meet my needs for nurturance, affection and caring.	I have believed that no one will ever meet my needs for nurturance, affection and caring. Not at all	Rarely	Sometimes	Often	Very often
I have felt like an island, isolated from everyone else.	I have felt like an island, isolated from everyone else. Not at all	Rarely	Sometimes	Often	Very often
I view myself as a failure because often I don't live up to my expectations.	I view myself as a failure because often I don't live up to my expectations. Not at all	Rarely	Sometimes	Often	Very often
I have expected others to misuse, abuse or hurt me.	I have expected others to misuse, abuse or hurt me. Not at all	Rarely	Sometimes	Often	Very often

4. Please indicate how strongly the following words describe your mother (or mother figure).

	Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Controlling	Please indicate how strongly the following words describe your mother (or mother figure). Controlling Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Overprotective	Overprotective Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Creative	Creative Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Distant	Distant Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Needy	Needy Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Dependable	Dependable Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Hostile	Hostile Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
High Expectations	High Expectations Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Idealistic	Idealistic Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Dependent	Dependent Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Easygoing	Easygoing Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Kind	Kind Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Demeaning	Demeaning Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure
Predictable	Predictable Not at all	Rarely	Sometimes	Often	Very Often	N/A No mother/mother figure

5. Please indicate how strongly the following words describe your father or father figure.

	Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Dependent	Please indicate how strongly the following words describe your father or father figure. Dependent Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Idealistic	Idealistic Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Distant	Distant Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Overprotective	Overprotective Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Controlling	Controlling Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Creative	Creative Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Needy	Needy Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Predictable	Predictable Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Hostile	Hostile Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Demeaning	Demeaning Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
High Expectations	High Expectations Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Easygoing	Easygoing Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Dependable	Dependable Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure
Kind	Kind Not at all	Rarely	Sometimes	Often	Very Often	N/A No father/father figure

6. Have you at some point been diagnosed with schizophrenia? (If no, skip to the end).

Have you at some point been diagnosed with schizophrenia? (If no, skip to the end). Yes

7. How old were you when you first experienced symptoms of schizophrenia?

How old were you when you first experienced symptoms of schizophrenia? 4-10

11-17

18-30

31-50

51+

8. Can you please describe any significant events that occurred just before you started having symptoms? (moves, breakups, deaths in the family, etc).

Can you please describe any significant events that occurred just before you started having symptoms? (moves, breakups, deaths in the family, etc).

9. Have you had, at some point, any recurring themes in your symptoms? If so, can you describe them and what they mean to you?

Have you had, at some point, any recurring themes in your symptoms? If so, can you describe them and what they mean to you?

Thank you for participating! A summary of the results from this study will be provided on www.schizophrenia.com at the conclusion of the study.

Survey Powered by:

SurveyMonkey.com

"Surveys Made Simple."

form {display:none;} #jserror {text-align:center;margin-top:50px;}Javascript is required for this site to function, please enable.