Adult Health: Behavior Analysis Questionnaire (survey) for Adults, Older Adults:
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Yet knowing the best solution to my problems, I often tend to seek for others' advice...... habitually…!

Usually, I like to share my humdrum difficulties with my fellow colleagues, it not only relieves my tension but also gives me a feeling of freeness!

I don’t know why "they" (-your surrounding people) shun and avoid me?

I feel weary at waking up, than I go to bed…..!

Compared to my fellow colleagues, I am very very quick and impatient!

It is my obvious tendency to anticipate failure before taking a task!

I strongly believe, every misfortune always happens to me and then others!

Though I am facing great difficulties right now, still I am incessantly striving hard in achieving my life goals.

Oops…!! I forgot…. I don't know why they call me MR. DUDE?

O

If you are a "dreamy" person, then frequency of your dreams is:

P

In general, you may be considered as "such-n-such" type of person among your circle of interaction. (what you think)

Q

Your overall attitude towards your present life situation is:

How is your relationship with family member?
a) Normal 
b) Problem with particular member
c) Not Applicable
IF (b) then describe in short

Have you observed any repetitive recurrence of your physical / mental ailment for various reasons? If 'Yes', Please explain.

Do you suffer any type of black depression, gloominess (bleak or  desolate phase of mind) for no reason thereof, explain the phase in brief like its recurrence, period for which it lasts etc.

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Do you think that you display some of the ADHD / Inattentiveness symptoms Or Learning Disability Symptoms? (Copy / Paste the applicable in the text box.)

Do you usually prefer to be remain aloof and always like to maintain a safe distance from your circle of interaction? Yes No

Do you tend to debate hard over trivial issues like bargaining vigorously at grocery shop, participating actively in "hot" discussions about last night's TV shows, game shows etc?
Yes No

Do you think that the signs of depression or grief apparently reflect on your face while facing life abnormalities? Yes No   OR

Do you think that you could successfully conceal / hide your deep-rooted grief by wearing a mask of smile while facing the people? means when things aren't going right, do you still smile?
Yes No

Do you sincerely feel your presence to be pleasant within your circle of interaction? means, do people stay around when they see you? Yes No

Do you feel free to seek help or advice from your friends during odd times, like borrowing money or seeking advice over personal issues etc. Yes No

Are you really punctual to follow your routine schedules strictly?
Yes, I am a planned person and act accordingly
Not always, but to some extent I try to follow my routine
No, I am not that much serious about my routine schedule

Do you seek exactness in attire or outfits, usually prefer a way of working in pursuit of order and discipline? - means do you love a military like disciplinary routine in your everyday life and expect the same from others too!  Yes  No

What would you prefer in a person you interact with?

	discipline, punctuality & good manners than his talent or creativity.
	OR would you credit a talent or creativity over discipline, punctuality & good manners?

Do you tend to criticize or react immediately when you disagree with the other's opinion?
Yes Always! I tend to react immediately. 
Not always but sometimes it happens..
No! I am cool that way, I can very well control my emotions!!

Do you have a strong aversion or intolerance of superficialities and always seek for exactness and discipline at home or workplace?

	Yes, I can't tolerate and never compromise on exactness and discipline.
	No, I am not that much touchy or rigid, I believe in life one has to be adjustable and flexible somewhere!

Do you believe in uncommon lifestyles like gay, lesbian or like that? Yes  No

Are you strongly intolerant of others' (particularly your significant others' or dating partner's) idiosyncrasies such as gesticulation, nodding, hiccups etc?
To be frank, I never thought on it before!
Yes, I hate that foolishness
By now, I have developed that much capacity and able to tolerate such nasty things!

Are you easily influenced by others' ideas, thoughts or writing? Yes  No

Are you obsessed with your favorite band, artist, star or politician? Yes  No

Are you firm in saying NO when you want to say NO? Yes  No

Are you inclined to help others for their betterment, even leaving your own work incomplete?
Yes, I always run to help others, and never care for my work!
Yes, I tend to help others, but at the same time I also care for my work. 
I can't answer this question because it all depends upon the prevailing situation! 

Do you strongly feel that you are unrecognized and can’t fight for your rights?
Yes  No  Probably it may be true to some extent

Do you feel that people around you, may consider you to be a weak, impotent and neglected element?
Yes, May be No, Impossible I Can't guess

Are you easily prone to general diseases (e.g. fever, cold etc), even on the slightest alternation in the surrounding weather conditions? Yes  No

Do you feel that you are categorized among those lucky guys who say, "I get what I want”?
Yes  No

Would you like to be remain in the steering seat so that you could control others by dictating your terms and enjoy the power and people may follow you?
Yes, I like it but I am not that much lucky! 
No, I am a simple person and only care for my own betterment. 
Yes, I like it but I don't know why things are going wrong with me.

Do you strictly adhere to the "give and take” policy? Yes  No  May be... I can't say

Do you expect people nearby to carry out your orders?
Yes, but I am not that much lucky!
No, I would prefer to do my work at my own.

Would you limit yourself to spend your earnings on yourself and your family only? - means no scope for charity, donation, churches or expenditures like that.

	I scarcely spent or usually what I spent on charity, donation, churches or on  expenditures like that, is less than 5% of my annual income .
	I usually spent 5% to 20% of my annual income on charity, donation, churches or expenditures like that.
	I usually spent above 20% of my annual income on charity, donation, churches or expenditures like that.

Do you think of money making opportunities at most of the time? means; would you like to hunt for an innovative money making ideas such as M.L.M OR Network Marketing?
Yes, money making has always been remained my passion and priority
No, money making was never been my topmost life priority

Do you have a tendency to blame yourself or consider yourself to be responsible, when things around you goes wrong? Yes No May be I can't say

What treatment you are undergoing presently?AllopathyHomoeopathyOthersNone

While on treatment, do you take your medicines regularly? Yes No Not Punctual

Presently, do you take any exercise or yoga for maintaining your physical/spiritual health?
Yes No Irregular

Also, do you take any health tonic or capsules or granuals for improving physical health?
Yes  No

Are you punctual with the work assigned and always strive to keep your word?
Strictly To Some Extent Not at all

Do you remain very conscious about being clean and tidy at your workplace or home?
Yes To Some Extent Not at all, I am messy that way!

Do you read the newspaper(s) regularly?
Yes Sometimes (-for a week or two in a month) What is new in news papers?

Are you fed up with your monotonous life routine? Yes No May be

Do you feel that life sucks, and nothing is ever going to get better for you?
Yes No May be

How is the nature of your sleep? Sound Sleep 
Often wakeup due to dreams, nightmares etc. Sleeplessness, Insomnia

Do you deprive yourself of sleep on purpose? Yes, often    Sometimes    No

Do you like to mingle with friends / company during family functions?
Always Occasionally Never

Normally you would prefer a company of?Friends Your Superiors/Boss Subordinates

Do you worship God, go to church regularly (every week) or chant mantras everyday / periodically? Yes regularly Occasionally Not at all

How do you feel in general, after rendering your duties?
Mentally exhausted Physically exhausted Both

Are you interested in your present nature of work (everyday routine) ?
Yes Have no alternative, hence Working Not at all

Are you working under continuous fear, tension or apprehension like fear of losing job or a current stream of income? Yes No Sometimes I feel so NOT Applicable

Do you find yourself insecure in your present circumstances? Yes No I can't tell.. !

How do you react with your everyday life situations?
In a normal way Reacts quickly & often get confused Apathetic towards life

Whom would you held responsible for your present life situation or ill-health condition?
Myself alone Surroundings and myself, both Surroundings alone

Presently, are you under the influence of any hypocrite, spiritual healer or Wicca & pagan? 
Yes  No

Do you believe in an omen, portent or prophecy etc.? Yes To some extent Not at all

Do you believe in ghosts and evil forces? Yes May be Not at all

Do you suffer from nightmares? Yes No Sometimes / Recurring

Overall, you are considered as a? (what you think)
Cool Natured person Hot-tempered person
Somewhere between cool and weird Eccentric

Normally your nature is considered to be? (That you think)
Flexible/Adjustable 
Partially flexible but sometimes rigid 
Rigid / Nonadjustable

Do you think that you are under a strong influence of any other person in your close proximity? Yes No May be, I Can't say

How is your decision making capacity?
In general, I am able to take own decisions.
At first, I hesitate -to be or not to be- but later on, I take decisions on my own.
Usually I tend to take decision by seeking others' advice!
I often get confused and tend to keep decisions pending or prolong them.

Do you experience drastic mood swings; such as joy and sadness, energy and apathy, optimism and pessimism during your everyday life situations? Yes  No Sometimes

Are you always thinking about the past? Yes No May be

Do you regret about opportunities lost in the past? (choose the most appropriate comment)
of course, it's but natural!
still, I don't believe in such type of hypothetical statements!
So, I don't want to comment on it!

Do you often experience a strong nostalgic feeling like you had missed something, while you are away from your home, family or dear ones? Yes No NOT Applicable

Do you feel that you keep malice/hatred for someone or is there any deep rooted jealousy for someone in your head? Yes No I can't say

Are you passing through a recurring phase of temporary depression or gloominess for "no apparent reason" thereof?  Yes  No

Are you dissatisfied with your present job or work? Yes No I can't guess

Do you think that you have got a tendency of envying and suspecting others?
Yes No I can't say

Do you hate someone and think of them at all the time? Yes No May Be

While you are on treatment, do you believe in its viability, therapeutic or healing effect?
Yes, to certain extent, I do believe
No, I am sure, no treatment will help me out of my situation
I always remain doubtful about efficacy of any treatment modality

Are you tend to get nervous / irritated over trivial life issues? OR Do you cry even when only little things happen? Yes No I can't say

Do you think that there are many things in your life that you would like to change, but you just don't have the means?
Yes I strongly feel I never think before that way I can't say anything

Do you strongly feel as though life has lost all meaning? No Yes I can't say

Do you remain over conscious about hygiene and feel immediately infected, as soon as your surrounding hygiene conditions altar? Yes To some extent No