Consortium: CCAPS-62

Questions 1 - 8

How well does each item describe you during the last two weeks?

	0	1	2	3	4
	Not at all like me



					Extremely like me
I get sad or angry when I think of my family.
I am shy around others.
There are many things I am afraid of.
My heart races for no good reason.
I feel out of control when I eat.
I enjoy my classes.
I feel that my family loves me.
I feel disconnected from myself.

Questions 9 - 16

How well does each item describe you during the last two weeks?

	0	1	2	3	4
	Not at all like me



					Extremely like me
I don't enjoy being around people as much as I used to.
I feel isolated and alone.
My family gets on my nerves.
I lose touch with reality.
I think about food more than I would like to.
I am anxious that I might have a panic attack while in public.
I feel confident that I can succeed academically.
I become anxious when I have to speak in front of audiences.

Questions 17 - 26

How well does each item describe you during the last two weeks?

	0	1	2	3	4
	Not at all like me



					Extremely like me
I have sleep difficulties.
My thoughts are racing.
I am satisfied with my body shape.
I feel worthless.
My family is basically a happy one.
I am dissatisfied with my weight.
I feel helpless.
I use drugs more than I should.
I eat too much.
I drink alcohol frequently.