Adult

Do you experience hallucinations (e.g., hearing voices, seeing things that others cannot)?
yesno

Do you feel excessively paranoid, like others are out to harm or deceive you?
yesno

Have you noticed significant changes in your speech or thought patterns (e.g., incoherence, difficulty organizing thoughts)?
yesno

Do you often feel disconnected from reality or like you are outside of your body?
yesno

Are you preoccupied with delusions (e.g., believing that you have special powers or that people are watching you)?
yesno

Have you experienced unusual or inappropriate emotional responses (e.g., laughing or crying at inappropriate times)?
yesno

Do you struggle with concentrating or staying focused on conversations or tasks?
yesno

Are you avoiding social situations due to fear or distrust of others?
yesno

Do you find it hard to distinguish between what is real and what is imagined?
yesno

Have others expressed concern about changes in your thoughts, behavior, or perceptions?
yesno

Over the past two weeks, have you often felt sad, empty, or hopeless?
yesno

Have you lost interest in activities that you once enjoyed, such as hobbies or socializing?
yesno

Have you experienced significant changes in your appetite or weight, either increased or decreased?
yesno

Have you found it difficult to concentrate on things like reading or watching TV?
yesno

Do you feel physically slowed down or overly restless (e.g., feeling like you have too much energy)?
yesno

Have you experienced periods of increased energy, rapid speech, or impulsive behavior?
yesno

Are you overly optimistic, with unrealistic ideas about your future?
yesno

Do you often feel irritable or easily agitated, even by small things?
yesno

Do you experience extreme mood swings (from feeling “high” to feeling “low” within short periods)?
yesno

Have you had thoughts of self-harm or been unable to escape feelings of sadness?
yesno

Do you often feel nervous, anxious, or tense, even when there is no obvious trigger?
yesno

Do you avoid places or situations because you feel overwhelmed or fearful?
yesno

Do you experience physical symptoms of anxiety, such as sweating, trembling, or rapid heartbeat?
yesno

Do you find it difficult to relax or calm down after stressful situations?
yesno

Do you often feel restless or “on edge” in social or work situations?
yesno

Are you easily fatigued or overwhelmed by routine tasks or obligations?
yesno

Do you have frequent, intrusive worries or thoughts that you cannot control?
yesno

Do you have difficulty sleeping due to anxiety or overthinking?8. Do you have difficulty sleeping due to anxiety or overthinking?
yesno

Do you experience panic attacks, where you feel sudden, overwhelming fear?
yesno

Do you often feel irritable or experience mood swings due to anxiety?
yesno

Do you find it difficult to maintain close relationships with others, often feeling disconnected or misunderstood?
yesno

Do you have a tendency to view situations as either all good or all bad (i.e., black-and-white thinking)?
yesno

Do you often engage in impulsive or reckless behaviors without considering the consequences?
yesno

Are you frequently described as intense or volatile in your emotional reactions?
yesno

Do you feel that your identity or sense of self is unstable or changes often?
yesno

Do you frequently struggle with feelings of emptiness or loneliness?
yesno

Are you overly suspicious of others, often assuming they have ulterior motives?
yesno

Do you engage in self-destructive behavior (e.g., self-harm, substance use) when feeling overwhelmed?
yesno

Do you often feel that you need constant validation or attention from others?
yesno

Do you experience frequent, intense mood shifts that disrupt your daily life or relationships?
yesno

Do you experience repetitive, intrusive thoughts that cause you distress (e.g., fear of contamination or harm)?
yesno

Do you feel compelled to perform rituals (e.g., washing, checking, counting) to relieve anxiety or prevent something bad from happening?
yesno

Do you find that these compulsions take up significant time in your day, interfering with other activities?
yesno

Do you often feel that you cannot stop performing certain behaviors, even though you know they are excessive or unreasonable?
yesno

Do you feel distressed or anxious if you are unable to complete your rituals?
yesno

Are you overly concerned with symmetry, order, or exactness in your environment or activities?
yesno

Do you have recurring fears of harming yourself or others unintentionally, even without reason?
yesno

Do you avoid situations where you feel your obsessions might be triggered (e.g., touching public surfaces)?
yesno

Do you worry excessively about germs, dirt, or contamination, even when it's not a realistic concern?
yesno

Have others expressed concern that your thoughts or behaviors are overly rigid or excessive?
yesno

Do you often feel overwhelmed by life changes or challenges (e.g., moving, job changes, loss)?
yesno

Have you noticed a pattern of dissociation, such as feeling detached from your body or surroundings?
yesno

Do you avoid certain places, people, or situations due to extreme fear or discomfort?
yesno

Have you ever experienced flashbacks or vivid memories of past traumatic events?
yesno

Do you have a history of frequent mood changes that you find hard to manage?
yesno

Do you frequently feel out of touch with your emotions or find it hard to express them?
yesno

Do you experience a significant fear of specific objects, situations, or animals?
yesno

Have you ever been diagnosed with a condition such as post-traumatic stress disorder (PTSD)?
yesno

Do you have difficulty accepting change or adjusting to new situations in your life?
yesno

Do you find that you frequently engage in behaviors or thoughts that seem to be driven by past experiences?
yesno