PERSONAL CHECK LIST - 问卷调查调研模板

Q1:What is the worst thing about the world situation today?

选项1

Q2:Could you give three reasons to explain the state of the world today?

选项1

Q3:Do you often think that events around you are out of your control?

选项1

Q4:Do you look back to the past?

often

not often

Q5:What things that you have done in the past do you regret most?

选项1

Q6:What event in the past has hurt you most?

选项1

Q7:Have you been able to forgive the people responsible?

选项1

Q8:If not,would you like to ba able to forgive them?

选项1

Q9:In a group of people that you do not know, do you feel:

relaxed

out of place

tense

Q10:In a group of people that you know, do you feel:

close to them

separate and cut off

Q11:What do you expect from relationships with others?

选项1

Q12:Do you receive as much as you hope from these relationships?

选项1

Q13:What do you try to put into your relationships with others?

选项1

Q14:Is there more you could give?What?

选项1

Q15:If some one annoys you, do you find it:

easy to react

ont a big problem

Q16:Do you worry about things?

hardly ever

some of the time

most of the time

Q17:Are you depressed?

never

sometimes

often

Q18:Do you find it diffcult to share your problems with other people?

easy

difficult

Q19:Do you have prblems in your life that you would like to change?

yes

no

Q20:Do you have habits in your life which:

control you a small amount

have a big control over you

Q21:Have you seen an improvrment in any problem in your life over the last year?

yes

no

Q22:What do you feel is your biggest weakness?

选项1

Q23:Would your friends say the same,or something differnt?

选项1

Q24:What causes most stress you?

选项1

Q25:If you are upset,do you hide your feelings?

always

never

sometimes

Q26:Do small problems at college upset you?

always

never

sometimes

Q27:Do you find it is esay to relax?

usually

never

sometimes

Q28:Do you stay awake at night worring about things?

often

never

sometimes

Q29:What do you fear most?

选项1

Q30:What do you look forward to most in the future?

选项1

Q31:What do you fear most in the future?

选项1

Q32:What targets would you like to set for your life in the next year?

选项1

Q33:What targets would you like to set for your life in the next five year?

选项1

Q34:Are they easily achievable?

选项1

Q35:If not, what might stop you achieving them?

选项1

Q36:Do you feel that you have adequate inner resources to handle all parts of your life by yourself?

选项1

Q37:Do you wish that you were in a different situation in life, in some wany?

选项1

Q38:How would you put into words your main purpose in life?

选项1

Q39:Do you feel there is anyhing missing from your life?

选项1