To what extent did you feel each of the following today? Use the scale below:

1. Calm

2. Faintness

3. Satisfaction with Self

4. Surprised

5. Muscle Aches

6. Active

7. Energetic

8. Irritated

9. Nausea

10. Startled

11. Relaxed

12. Anxious

13. Satisfied with Family

14. Headache

15. Nervous

16. Satisfied with Friends

17. Sad

18. Annoyed

19. Happy

Below are different goals that you may or may not have had today. To what extent did you have each of the goals? Use the scale below:

20. To strive for excellence

21. To affiliate with others

22. To influence other people

23. To approach things I wanted

24. To avoid things I did not want

Please indicate for each of the following experiences how much it has been a part of your day. Use the scale below:

25. Had a deadline to worry about

26. A lot of responsibilities

27. Health problems or fatigue

28. Not enough time to meet obligations

29. Too many things to do at once

How many times did you engage in the following behaviors today? Use the scale below:

30. Criticized someone

31. Felt overwhelmed

32. Argued with someone

33. Worried about something

34. Ate more than I intended to

35. Bought something on impulse

36. Criticized myself

37. Gave in to an urge

38. Insulted someone

To what extent did you feel each of the following today? Use the scale below:

39. I was annoyed by mistakes

40. I had conflicting thoughts today

41. I had difficulty deciding how to act because of conflicting thoughts

42. I was uninfluenced by distractions

43. I was self-critical today

44. I was self-conscious today

45. I noticed little errors I was making

46. I was very focused today

47. I learned something new and interesting today

48. Nothing surprised me today