Suggestibility Questionnaire #1 and #2 combined

Suggestibility Questionnaire #1 and #2 combined

Answer yes or no for each question, quickly giving no time to ponder on the question or answer. (36 QUESTIONS TOTAL) Please answer ALL questions, leaving nothing blank or unanswered, thank you.
1. Have you ever walked in your sleep during your adult life? *

YES NO
2. As a teenager, did you feel comfortable expressing your feelings to one or both of your parents? *

YES NO
3. Do you have a tendency to look directly into a person's eyes and/or move closely to them when discussing an interesting subject? *

YES NO
4. Do you feel that most people, when you first meet them, are critical of your appearance? *

YES NO
5. In a group situation with people you have just met, would you feel comfortable drawing attention to yourself by initiating a conversation? *

YES NO
6. Do you feel comfortable holding hands to hugging someone you are in a relationship with in front of other people? *

YES NO
7. When someone talks about feeling warm physically, do you begin to feel warm also? *

YES NO
8. Do you tend to occasionally tune out when someone is talking to you because you are anxious to come up with your side, and, at times, not hear what the other person said? *

YES NO
9. Do you feel that you learn and comprehend better by seeing and/or reading than by hearing? *

YES NO
10. In a new class or lecture situation, do you usually feel comfortable asking questions in front of the group? *

YES NO
11. 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
12. Do you enjoy relating to children? *

YES NO
13. 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
14. Do you prefer reading fiction (fantasy, romance, crime thrillers) rather than non-fiction (fact, truth, real events, history) *

YES NO
15. If you were to image sucking on a sour, bitter, juicy, yellow lemon, would your mouth water? *

YES NO
16. If you feel that you deserve to be complimented for something well done, do you feel comfortable if the compliment is given to you in front of other people? *

YES NO
17. Do you feel that you are a good conversationalist? *

YES NO
18. Do you feel comfortable when complimentary attention is drawn to your physical body or appearance? *

YES NO
Please Continue Suggestibility #2

Also 18 questions as above. Please answer ALL questions, leaving nothing blank or unanswered, thank you.
1. Have you ever awakened in the middle of the night and felt that you could not move your body and/or speak? *

YES NO
2. As a child, did you feel that you were more affected by your parents or guardians tone of voice, than by what they actually said? *

YES NO
3. If someone you are associated with talks about fear that you have experienced before, do you have a tendency to have an apprehensive or fearful feeling also? *

YES NO
4. After having an argument with someone, do you have a tendency to dwell on what you could have or should have said? *

YES NO
5. 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
6. Do you sometimes desire to be complimented for a job well done, but feel embarrassed or uncomfortable when complimented? *

YES NO
7. Do you often have a fear or dread of not being able to to carry on a conversation with someone you just met? *

YES NO
8. Do you feel self conscious when attention is drawn to your physical body or appearance? *

YES NO
9. If you had a choice, would you rather avoid being around children most of the time? *

YES NO
10. Do you feel that you are not relaxed or loose in body movements, especially when faced with unfamiliar people or circumstances? *

YES NO
11. Do you prefer reading fiction (fantasy, romance, crime thrillers) rather than non-fiction (fact, truth, real events, history) *

YES NO
12. If someone describes a very bitter taste, do you have difficulty experiencing the physical feeling or sensation of it? *

YES NO
13. Do you generally feel that you see yourself less favorably than others see you? *

YES NO
14. 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 other people? *

YES NO
15. 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
16. 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
17. In a group situation with people you have just met, would you feel uncomfortable drawing attention to yourself by initiating a conversation? *

YES NO
18. If you are in a relationship or are very close to someone, do you find it difficult or embarrassing to verbalize your love for them? *

YES NO
Name *

First Name Last Name
Date *

Month Day Year
Date
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Suggestibility Questionnaire #1 and #2 combined

Please Continue Suggestibility #2