|
Never |
Sometimes |
Often |
| 1. Failing a test in school |
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| 2. My father losing his job |
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| 3. Being scolded by the teacher |
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| 4. Being in an accident |
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| 5. My mother leaving me |
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| 6. Not having enough to eat |
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| 7. Not having girl friends |
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| 8. Being left behind in my grade at school |
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| 9. My parents being sick |
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| 10. Someone following me at night |
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| 11. My brother or sister leaving me |
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| 12. Not being popular enough |
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| 13. Getting struck by a car |
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| 14. Making a speech before a group in school |
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| 15. Getting sick |
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| 16. My father scolding me |
_____ |
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| 17. Having bad dreams |
_____ |
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| 18. Not having boy friends |
_____ |
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| 19. Not being able to get a job |
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| 20. Dying |
_____ |
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| 21. Not being a success |
_____ |
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| 22. My brother or sister picking on me |
_____ |
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| 23. Having to support my parents some day |
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| 24. My mother scolding me |
_____ |
_____ |
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| 25. Not getting enough presents at Christmas |
_____ |
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| 26. Being in a play in school (stage fright) |
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| 27. The house burning down |
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| 28. Being poor |
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| 29. Being left alone in the dark |
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| 30. My sister or brother getting more presents than I at Christmas |
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| 31. My father leaving me |
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| 32. Whether I would get married |
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| 33. My father punishing me |
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| 34. My mother dying |
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| 35. When my menstrual period came |
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| 36. Robbers breaking in the house |
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| 37. Not having an attractive home |
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| 38. My brother or sister dying |
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| 39. Being lonely |
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| 40. Feeling my parents might not care for me |
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| 41. Witches or ghosts coming |
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| 42. My mother punishing me |
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| 43. My father dying |
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| 44. Not being attractive |
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| 45. Not being healthy |
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| 46. Things I saw in movies, like Frankensteins |
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| 47. Being out in lightning and thunder-storm |
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| 48. People picking fights with me |
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| 49. Meeting snakes |
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| 50. Meeting large animals |
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| 51. Having the dentist pull a tooth |
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| 52. Someone ridiculing or making fun of me |
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| 53. Jumping or falling off a high cliff |
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| 54. Being shut in a room by myself |
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