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Answer the following 10 questions:




1. When I have a bad thought I try to distract myself to make it go away.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
2. When something upsetting comes up I try hard to stop thinking about it.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
3. I think about the short term and try not to think about the long-term. 
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
4. I think some of my emotions are bad or inappropriate and I shouldn't feel them.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True

5. I believe some of my thoughts are abnormal or bad and I shouldn't think them.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
6. When something bad happens it is hard for me to stop thinking about it.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
7. It is very easy to get trapped in unwanted thoughts and feelings.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
8. My priorities and values often fall by the wayside in my day to day life.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True

9. Feelings and/or thoughts often trap me in inaction.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True
10. Thoughts and/or feelings derail me from what's really important.
Always True 0 1 2 3 4 5 6 7 8 9 10 Never True