Suggestibility Questionnaire 2
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Have you ever awakened in the middle of the night and felt that you couldn't move your body and/or talk?
Yes
No
As a child, did you feel that you were more affected by your parents tone of voice, than by what they actually said?
Yes
No
If someone you are associated with talks about a fear that you have experiences before, do you tend to have an apprehensive or fearful feeling also?
Yes
No
After having an argument with someone, do you have a tendency to dwell on what you could or should have said?
Yes
No
Do you tend to occasionally tune out when someone is talking to you and, therefore, do not hear what was said because your mind drifts to something totally unrelated?
Yes
No
Do you sometimes desire to be complimented for a job well done, but feel embarrassed or uncomfortable when complimented?
Yes
No
Do you often have a fear or dread of not being able to carry on a conversation with someone you just met?
Yes
No
Do you feel self-conscious when attention is drawn to your physical body or appearance?
Yes
No
If you had a choice, would you rather avoid being around children most of the time?
Yes
No
Do you feel that you are not relaxed or loose in body movements, especially when faced with unfamiliar people or circumstances?
Yes
No
Do you prefer reading non-fiction (make-believe) rather than fiction (fact based)?
Yes
No
If someone described a very bitter taste, do you have difficulty experiencing the physical feeling of it?
Yes
No
Do you feel that you generally see yourself less favorably than others see you?
Yes
No
Do you tend to feel awkward or self-conscious initiating touch (holding hands, kissing, etc.) with someone you are in a relationship with in front of people?
Yes
No
In a new class or lecture situation, do you usually feel uncomfortable asking questions in front of the group, even though you may require further explanation?
Yes
No
Do you feel uneasy if someone you have just met looks you directly in the eyes when talking to you, especially if the conversation is about you?
Yes
No
In a group situation with people you just met, would you feel uncomfortable drawing attention to yourself by initiating a conversation?
Yes
No
If you are in a relationship, or very close to someone, do you find it difficult or embarrassing to verbalize your love for them?
Yes
No
Submit
Should be Empty: