Core OM

IMPORTANT – PLEASE READ THIS FIRST
This form has 10 statements about how you have been OVER THE LAST WEEK. Please read each statement and think how often you felt that way last week. Then choose the option which is closest to this. Please remember to save the file when you finish, and send it back to whoever sent it to you.

1. I have felt terribly alone and isolated

2. I have felt tense, anxious or nervous

3. I have felt I have someone to turn to for support when needed

4. I have felt O.K. about myself

5. I have felt totally lacking in energy and enthusiasm

6. I have been physically violent to others

7. I have felt able to cope when things go wrong

8. I have been troubled by aches, pains or other physical problems

9. I have thought of hurting myself

10. Talking to people has felt too much for me

11. Tension and anxiety have prevented me doing important things

12. I have been happy with the things I have done

13. I have been disturbed by unwanted thoughts and feelings

14. I have felt like crying

15. I have felt panic or terror

16. I made plans to end my life

17. I have felt overwhelmed by my problems

18. I have had difficulty getting to sleep or staying asleep

19. I have felt warmth or affection for someone

20. My problems have been impossible to put to one side

21. I have been able to do most things I needed to

22. I have threatened or intimidated another person

23. I have felt despairing or hopeless

24. I have thought it would be better if I were dead

25. I have felt criticised by other people

26. I have thought I have no friends

27. I have felt unhappy

28. Unwanted images or memories have been distressing me

29. I have been irritable when with other people

30. I have thought I am to blame for my problems and difficulties

31. I have felt optimistic about my future

32. I have achieved the things I wanted to

33. I have felt humiliated or shamed by other people

34. I have hurt myself physically or taken dangerous risks with my health

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