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Experiencing emotions
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you ever feel guilty?
Select one or more answers
yes
no
2
If you have answered yes to ever feeling guilty can you give an example of what makes you feel guilty? (if no please type n/a)
3
Do you ever feel ashamed?
Select one or more answers
yes
no
4
If you have answered yes to ever feeling ashamed could you please provide an example (if no please type n/a)
5
Do you ever feel guilty if you plan something and it doesn't go to plan? (e.g. a meal out or a day out)
Select one or more answers
Yes
No
6
If a friend/family member/loved one planned a day out (meal/trip etc) and it didn't go as planned would you...(tick all that apply)
Select one or more answers
think its their fault
think bad of them
its not their fault
they've wasted my time
Something else (please write what you would think)
7
After drinking alcohol have you ever felt
Select one or more answers
embarrassed
cringey
guilty
ashamed
i don't drink alcohol
i drink alcohol but i don't experience these emotions
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