1. Please enter your survey ID (credit for participation cannot be given without a valid ID number). Your ID number is 7 digits long. The first 3 digits are the first 3 numbers of your student (social security) number. The next four digits are the month and day of your birthday. For example, if you were born January 3, those numbers would be 0103. If you were born November 6, those numbers would be 1106. Do not skip spaces between any of the 7 digits.

ID#

2. Below are a number of words that describe different feelings and emotions. For each item, indicate to what extent you feel this way AT THIS MOMENT.

very slightly/not at all a little moderately quite a bit extremely
A. sad
B. blue
C. downhearted
D. alone
E. lonely
3. Below are several pairs of positive and negative words that people use to describe themselves. Please rate how you view yourself AT THIS MOMENT by marking the appropriate choice for where you fit between each pair of words.

very much somewhat neither somewhat very much
A. capableincapable
B. kindunkind
C. undesirabledesirable
D. strongweak
E. attractiveunattractive
F. foolishwise
G. unlovablelovable
H. responsibleirresponsible
I. worthwhileworthless
J. boringinteresting
K. goodbad
L. fatthin
In the questions below (4-6), please rate how OFTEN you had the following thoughts TODAY:

4. "I don't like the way I look."

very slightly/not at all
a little
moderately
quite a bit
extremely

5. "Other students like my looks."

very slightly/not at all
a little
moderately
quite a bit
extremely

6. "I wish I looked like someone else."

very slightly/not at all
a little
moderately
quite a bit
extremely

7. Look at the problems below. Mark each problem that occurred TODAY. Each event that occurred should be counted only once (for only one item below). If a problem did not occur, leave the accompanying check box blank.

A. school-related stressor (e.g., exam, paper, studying, grade)
B. personal illness, injury, or accident
C. hassle (e.g., parking problem, money problem)
D. argument/conflict with romantic partner
E. argument/conflict with friend or roommate
F. argument/conflict with family member
G. argument/conflict with acquaintance
H. romantic partner ignored/snubbed me (not an argument)
I. friend or roommate ignored/snubbed me (not an argument)
J. family member ignored/snubbed me (not an argument)

8. What was the worst or most bothersome problem of TODAY? If it was one of the events listed in Question 7, type the letter of the item (A-J) in the space below. If it was NOT one of the events listed in Question 7, type the letter X.

letter

The questions below (9-11) refer to TODAY'S WORST EVENT:

9. How much CONTROL did you have over its occurrence?

no control
very little control
some control
almost complete control
complete control

10. How UNDESIRABLE was it?

not undesirable
slightly undesirable
somewhat undesirable
very undesirable
extremely undesirable

11. Do you have what it TAKES TO SUCCESSFULLY COPE with the problem?

definitely not
probably not
maybe
probably
definitely

For each item below (12-24), indicate how often you used this particular coping strategy TODAY in dealing with TODAY'S WORST PROBLEM.

12. DIRECT ACTION: Thought about solutions to the problem or did something to try to solve it.

not at all
a little bit
medium amount
a lot

13. MADE MYSELF VOMIT

not at all
somewhat
a lot

14. DISTRACTION: Turned attention away from the problem or did something to try to solve it.

not at all
a little bit
medium amount
a lot

15. SKIPPED ONE OR MORE MEALS, REDUCED MY EATING

not at all
somewhat
a lot

16. POSITIVE REINTERPRETATION: Tried to see the problem in a different light that made it seem more bearable.

not at all
a little bit
medium amount
a lot

17. ENGAGED IN STRENUOUS EXERCISE

not at all
somewhat
a lot

18. CATHARSIS: Expressed emotions in response to the problem to reduce tension or frustration.

not at all
a little bit
medium amount
a lot

19. SELF-BLAME: Thought about how I should have prevented it or about how it was my fault.

not at all
a little bit
medium amount
a lot

20. ACCEPTANCE: Accepted that the problem occurred, but that nothing could be done about it.

not at all
a little bit
medium amount
a lot

21. SEEKING SOCIAL SUPPORT: Sought or found emotional support from loved ones or friends.

not at all
a little bit
medium amount
a lot

22. USED A LAXATIVE OR DIET PILL (e.g., stimulant, appetite supressant, diuretic)

not at all
somewhat
a lot

23. DENIAL: Made believe that the event never happened.

not at all
a little bit
medium amount
a lot

24. ATE FOOD EVEN THOUGH I WASN'T HUNGRY

not at all
somewhat
a lot