Professional Documents
Culture Documents
Instrument Author:
ASA-27
The following statements refer to symptoms that you might have experienced as an adult
(over the age of 18 years). Please tick the appropriate brackets for each item, according
to whether you have experienced any of these symptoms. Please remember to answer all
questions.
This happens
very often
This happens
fairly often
This happens
occasionally
This has
never
happened
1.
2.
3.
4.
5.
6.
7.
8.
9.
This happens
very often
This happens
fairly often
This happens
occasionally
This has
never
happened
This happens
very often
This happens
fairly often
This happens
occasionally
This has
never
happened