K.

S Hegde Hospital Deralakatte Managlore

IPDE Screening Questionnaire
Name:

Pateint ID:

Date:

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 K.S Hegde Hospital Deralakatte Managlore
IPDE Screening Questionnaire

Questions
I usually get fun and enjoyment out of life.
I trust people I know.
I am not fussy about little details.
I can't decide what kind of person I want to be.
I show my feelings for everyone to see.
I let others make my decisions for me.
I get upset when I hear bad news about some one I know.
Giving into some of my urges gets me into trouble.
Many people I know envy me.
I give my general impression of things and don't bother with details.
I have never been arrested.
People think I'm cold and detached.
I get into very intense relationships that don't last.
Most people are fair and honest with me.
People have a high opinion of me.
I feel awkward or out of place in social situations.
I'm too easily influenced by what goes on around me.
I usually feel bad when I hurt or upset someone.
I find it very difficult to throw out things.
At times I've refused to hold a job, even when I was expected to.
when I'm praised or criticized I let others know how I feel.
I use people to get what I want.
I spend too much time trying to do things perfectly.
People often make fun of me behind my back.
I've never threatened suicide or injured myself on purpose.
My feelings are like the weather; they're always changing.
To aviod being criticized, I prefer to work alone.
I like to dress so I stand out in a crowd.
I will lie or con someone if it serves my purpose.
I am more superstitious than most people.
I have little or no desire to have sex with anyone.
People think I'm too strict about rules and regulations.
I usually feel uncomfortable or helpless when I'am alone.
I won't get involved with people until I'm certain they like me.
I would rather not be the center of attention.
I think my spouse (Or lover) may be unfaithful to me.
People think I have too high an opinion of myself.
I am careful about what I tell others about myself.
I worry a lot that people may not like me.
I often feel "empty" inside.
I work so hard I don't have time for anything else.
I worry about being left alone and having to care for myself.
I have tantrums or angry outbursts.
I have a reputation for being a flirt.
I feel very close to people I've just met.
I perfer activities that I can do by myself.
I loose my temper and get into physical fights.
Some people think I'm tight or stingy with my money.
I often seek advice or reassurance about everyday decisions.
To get people to like me, I help them with unpleasant jobs.
I'm afraid of making a fool of myself with people I'm close to.
I often mistake objects or shadows for people.
I'm very moody.
It's hard for me to get used to a new way of doing things.
I daydream about being famous.
I take chances and do reckless things.
Everyone needs a friends or two to be happy.
I discover hidden threats in what some people tell me.
I usually try to get people to do things my way.
When I'm under stress, things around me don't seem real.
I get annoyed when people won't do what I ask.
When a close relationshiop ends, I can hardly wait to start a new one.
I avoid unfamiliar activities so I won't be embarrassed trying to do them.
People find it hard to get the point of what I'am saying.
I prefer to associate with talented people.
I 've been the victim of unfair attacks on my character or reputation.
I don't show much emotion.
I do things to get people to admire me.
I'm usually able to start projects on my own.
People think I'm odd or eccentric.
I feel at ease in social situations.
I've held grudges against people for years.
I find it hard to disagree with people I depend on a lot.
It's hard for me to stay out of trouble.
I go to extremes to try to keep people from leaving me.
When I first meet someone, I don't say much.
I have close friends.
Remark
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Directions
1. The purpose of this questionaire is to learn what type of person you have during the past 5 Years.

2. Please do not skip any items. If you are not sure of an answer, select the the one (TRUE or FALSE)

that is more likely to be correct. There is no time limit, but do not spend too much time thinking about

the answer to any single statement.

3.When the Answer is True, Select TRUE. When Answer is false select FALSE.

4. If you wish to change your response any time by selecting True of False.

5. Write your Name, Identification Number, and todays date in spaces provided at the top.

6. Then read and respond to each of the 77 items.

 1
Sl.no Paranoid
1 I usually get fun and enjoyment out of life. 0
2 I trust people I know. 0 0
3 I am not fussy about little details. 0
4 I can't decide what kind of person I want to be. 0
5 I show my feelings for everyone to see. 0
6 I let others make my decisions for me. 0
7 I get upset when I hear bad news about some one I know. 0
8 Giving into some of my urges gets me into trouble. 0
9 Many people I know envy me. 0
10 I give my general impression of things and don't bother with details. 0
11 I have never been arrested. 0
12 People think I'm cold and detached. 0
13 I get into very intense relationships that don't last. 0
14 Most people are fair and honest with me. 0 0
15 People have a high opinion of me. 0
16 I feel awkward or out of place in social situations. 0
17 I'm too easily influenced by what goes on around me. 0
18 I usually feel bad when I hurt or upset someone. 0
19 I find it very difficult to throw out things. 0
20 At times I've refused to hold a job, even when I was expected to. 0
21 when I'm praised or criticized I let others know how I feel. 0
22 I use people to get what I want. 0
23 I spend too much time trying to do things perfectly. 0
24 People often make fun of me behind my back. 0
25 I've never threatened suicide or injured myself on purpose. 0
26 My feelings are like the weather; they're always changing. 0
27 To aviod being criticized, I prefer to work alone. 0
28 I like to dress so I stand out in a crowd. 0
29 I will lie or con someone if it serves my purpose. 0
30 I am more superstitious than most people. 0
31 I have little or no desire to have sex with anyone. 0
32 People think I'm too strict about rules and regulations. 0
33 I usually feel uncomfortable or helpless when I'am alone. 0
34 I won't get involved with people until I'm certain they like me. 0
35 I would rather not be the center of attention. 0
36 I think my spouse (Or lover) may be unfaithful to me. 0 0
37 People think I have too high an opinion of myself. 0
38 I am careful about what I tell others about myself. 0 0
39 I worry a lot that people may not like me. 0
40 I often feel "empty" inside. 0
41 I work so hard I don't have time for anything else. 0
42 I worry about being left alone and having to care for myself. 0
43 I have tantrums or angry outbursts. 0
44 I have a reputation for being a flirt. 0
45 I feel very close to people I've just met. 0
46 I perfer activities that I can do by myself. 0
47 I loose my temper and get into physical fights. 0
48 Some people think I'm tight or stingy with my money. 0
49 I often seek advice or reassurance about everyday decisions. 0
50 To get people to like me, I help them with unpleasant jobs. 0
51 I'm afraid of making a fool of myself with people I'm close to. 0
52 I often mistake objects or shadows for people. 0
53 I'm very moody. 0
54 It's hard for me to get used to a new way of doing things. 0
55 I daydream about being famous. 0
56 I take chances and do reckless things. 0
57 Everyone needs a friends or two to be happy. 0
58 I discover hidden threats in what some people tell me. 0 0
59 I usually try to get people to do things my way. 0
60 When I'm under stress, things around me don't seem real. 0
61 I get annoyed when people won't do what I ask. 0
62 When a close relationshiop ends, I can hardly wait to start a new one. 0
63 I avoid unfamiliar activities so I won't be embarrassed trying to do them. 0
64 People find it hard to get the point of what I'am saying. 0
65 I prefer to associate with talented people. 0
66 I 've been the victim of unfair attacks on my character or reputation. 0 0
67 I don't show much emotion. 0
68 I do things to get people to admire me. 0
69 I'm usually able to start projects on my own. 0
70 People think I'm odd or eccentric. 0
71 I feel at ease in social situations. 0
72 I've held grudges against people for years. 0 0
73 I find it hard to disagree with people I depend on a lot. 0
74 It's hard for me to stay out of trouble. 0
75 I go to extremes to try to keep people from leaving me. 0
76 When I first meet someone, I don't say much. 0
77 I have close friends. 0
Total 0

1 PARANOID 0
2 SCHIZOID 0
 3 SCHIZOTYPAL 0
4 ANTISOCIAL 0
5 BORDERLINE 0
6 HISTRIONIC 0
7 NARCISSISTIC 0
8 AVOIDANT 0
9 DEPENDENDENT 0
10 OBSESSIVE-COMPULSIVE 0
 2 3 4 5 6 7 8 9
Schiziod Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent
0
0

0
0
0
0
0
0
0
0
0
0

0
0
0
0

0
0
0

0
0
0
0
0
0
0
0

0
0
0

0
0
0
0
 0
0
0
0
0
0

0
0
0
0
0

0
0
0

0
0
0
0
0
0

0
0
0
0
0

0
0
0
0
0 0
0 0 0 0 0 0 0 0
 10
Obsessive-Compulsive

0
0

0
 K.S Hegde Hospital Deralakatte Managlore
IPDE Screening Questionnaire
Name: 0

Pateint ID: 0

Date: 12/30/1899

SCORE SUMMARY TABLE

Cluster A Cluster B Cluster C

Personality disorder Score Personality disorder Score Personality disorder Score

1 301.0 Paranoid 0 4 301.7 Antisocial 0 8 301.82 Avoidant 0

2 301.20 Schiziod 0 5 301.83 Borderline 0 9 301.6 Dependent 0

6 301.50 Histrionic 0
3 301.22 schizotypal 10 301.4 Obessive- Compulsive 0
0 7 301.81 Narcissistic 0