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2008
March
B
bellaSavio - My Way of Thinking – Why I Make the C
bellaSavio - My Way of Thinking – Why I Make the C
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Hello:
Congratulations on opening this section of the Personal Factor Inventory: My Way of Thinking. In this section, there are only 12 questions. It will take approximately 2 minutes to complete this section.
Your participation in taking the Personal Factor Inventory is completely voluntary. There are no foreseeable risks associated with answering these questions. However, if you feel uncomfortable answering any questions, you can stop answering them at any time.
Your responses will be strictly confidential. Your information will be coded and will remain confidential. If you have questions at any time about the Personal Factor Inventory or the procedures, you may contact Vicki Tambellini by email at
[email protected]
.
Once you have completed this section, there will be feedback for you to review. Please start with Section IV now by clicking on the
Continue
button below.
My Way of Thinking – Why I Make the Choices I Do
401. I am a positive thinker – I am confident that I can accomplish what I set out to do.
Never
Rarely
Sometimes
Often
Always
402. My self esteem can be affected by negative thoughts, feelings and self-images.
Never
Rarely
Sometimes
Often
Always
403. I am overwhelmed by negative thoughts, feelings and images.
Never
Rarely
Sometimes
Often
Always
404. I suffer from depression that impairs my quality of life.
Never
Rarely
Sometimes
Often
Always
405. I feel anxious.
Never
Rarely
Sometimes
Often
Always
406. Regarding personal issues, I have looked for information on: (check all that apply)
Alcoholism
Misuse of prescription medications
Recreational drugs
Overeating
Binge eating
Compulsive eating
Unspecified eating disorders
Food addiction
Bulimia
Depression/Anxiety
Other
407. I am unhappy with what I see in the mirror.
Never
Rarely
Sometimes
Often
Always
408. I feel like my eating is out of control.
Never
Rarely
Sometimes
Often
Always
409. I think about food.
Never
Rarely
Sometimes
Often
Always
410. I am embarrassed by my weight.
Never
Rarely
Sometimes
Often
Always
411. People don’t understand what I’m going through.
Never
Rarely
Sometimes
Often
Always
412. I am surprised by what I see in the mirror.
Never
Rarely
Sometimes
Often
Always
Please contact
[email protected]
if you have any questions regarding the Personal Factor Inventory.
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