Suggestibility Questionnaire 1
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Have you ever walked in your sleep during your adult life?
Yes
No
As a teenager, did you feel comfortable expressing your feelings to one or both of your parents?
Yes
No
Do you have a tendency to look directly into a persons eyes and/or move closely to them when discussing an interesting subject?
Yes
No
Do you feel that most people, when you meet them, are uncritical of your appearance?
Yes
No
In a group setting with people you just met, would you be comfortable drawing attention to your self by initiating a conversation?
Yes
No
Do you feel comfortable holding hands or hugging someone you are in a relationship with, in front of other people?
Yes
No
When someone talks about feeling warm physically, do you begin to feel warm also?
Yes
No
Do you tend to tune out when someone is talking to you because you are anxious to come up with your side, and, at time, not hear what the other person has said?
Yes
No
Do you feel that you learn and comprehend better by seeing and/or reading rather than by hearing?
Yes
No
In a new class or lecture situation, do you usually feel comfortable asking questions in front of the group?
Yes
No
When expressing your ideas, do you find it important to relate all the details leading up to the subject so the other person can understand it completely?
Yes
No
Do you enjoy relating to children?
Yes
No
Do you find it easy to be at ease and comfortable with your body movements, even when faced with unfamiliar people and circumstances?
Yes
No
Do you prefer reading non-fiction (make-believe) to fiction (fact based)?
Yes
No
If you were to imagine sucking on a sour, bitter, juicy, yellow lemon, would your mouth water?
Yes
No
If you feel that you deserve to be complimented for something well done, do you feel comfortable if the compliment is given infant of other people?
Yes
No
Do you feel that you are a good conversationalist?
Yes
No
Do you feel comfortable when complimentary attention is drawn to your physical body or appearance?
Yes
No
Submit
Should be Empty: