State-Trait-Anxiety-Inventory

State-Trait Anxiety Inventory for Adults

Developed by Charles D. Spielberger in collaboration with R.L. Gorsuch, R. Lushene, P.R. Vagg, and G.A. Jacobs

You have purchased permission to reproduce this document up to the maximum number that is shown on the leftmost column of this page. You may not reproduce more than this allotted amount. If you wish to reproduce more than this amount, you are required to purchase bulk permission for each additional copy over the amount that is shown in the leftmost column on this page.

It is your legal responsibility to compensate the copyright holder of this work for any reproduction in any medium. If any part of this Work (e.g., scoring, items, etc is put on an electronic or other media, you agree to remove this Work from that media at the end of this license. The copyright holder has agreed to grant one person permission to reproduce this work for one year from the date of purchase for non-commercial and personal use only. Non- commercial use means that you will not receive payment for distributing this document and personal use means that you will only reproduce this work for your own research or for clients. This permission is granted to one person only. Each person who administers the test must purchase permission separately. Any organization purchasing permissions must purchase separate permissions for each individual who will be using or administering the test.

Published by Mind Garden 1690 Woodside Road Suite 202, Redwood City, CA 94061 USA 650-261-3500 www.mindgarden.com

STAIP-AD Test Form Y www.mindgarden.com

SELF-EVALUATION QUESTIONNAIRESTAI Form Y-1

Please provide the following information:

Name

Date

Age

A number of statements which people have used to describe themselves are given below. Read each statement and then circle the appropriate number to the right of the statement to indicate how you feel right now, that is, at this moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feelings best. 1. I feel calm

6. I feel upset 7. I am presently worrying over possible misfortunes

19. I feel steady 20. I feel pleasant

Name

Date

A number of statements which people have used to describe themselves are given below. Read each statement and then circle the appropriate number to the right of the statement to indicate how you generally feel. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe how you generally feel.

22. I feel nervous and restless

22. I feel nervous and restless 1

23. I feel satisfied with myself 24. I wish I could be as happy as others seem to be

27. I am "calm, cool, and collected"

28. I feel that difficulties are piling up so that I cannot overcome them 29. I worry too much over something that really doesn't matter 30. I am happy 31. I have disturbing thoughts

34. I make decisions easily 35. I feel inadequate

37. Some unimportant thought runs through my mind and bothers me 38. I take disappointments so keenly that I can't put them out of my mind 39. I am a steady person 40. I get in a state of tension or turmoil as I think over my recent concerns and interests

40. I get in a state of tension or turmoil as I think over my recent concerns and interests 1

State-Trait Anxiety Inventory for Adults Scoring Key (Form Y-1, Y-2)

Developed by Charles D. Spielberger in collaboration with R.L. Gorsuch, R. Lushene, P.R. Vagg, and G.A. Jacobs

To use this stencil, fold this sheet in half and line up with the appropriate test side, either Form Y-1 or Form Y-2. Simply total the scoring weights shown on the stencil for each response category. For example, for question # 1, if the respondent marked 3, then the weight would be 2. Refer to the manual for appropriate normative data.

STAIP AD Scoring Key www.mindgarden.com

SELF-EVALUATION QUESTIONNAIRE

DIRECTIONS