In the last 30 days, how often have you:
Been upset because of something that happened unexpectedly
Felt that you were unable to control the important things in your life
Felt nervous and “stressed”
Felt confident about your ability to handle any personal problems
Felt that things were going your way
Found that you could not cope with all the things that you had to do
Been able to control irritations in your life
Felt that you were on top of things
Been angered because of things that were outside of your control
Felt difficulties were piling up so high that you could not overcome them