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CBT Assertion Inventory


This is a self report questionaire so that you can assess both your degree of discomfort in a hypothetical situation in one menu selection and then the likelihood of actually behaving this way in the second menu selection after the situation sentence.

[form] REBT Assertion Inventory Your Name please: [text,r_name,30] Email: [text,r_email,30] BEST PROCESS is... FIRST go through the list and make your selection in terms of how uncomfortable you would find yourself. THEN go through the list a second time and make your selection in terms of the likelihood of you behaving that way. 1. Turn down a request to borrow your car [list,1. Turn down a request to borrow your car][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,1prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 2. Compliment a friend [list,2. Compliment a friend][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,2prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 3. Ask a favour of someone [list,3. Ask a favour of someone][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,3prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 4. Resist sales pressure [list,4. Resist sales pressure][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,4prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 5. Apologise when you are at fault [list,5. Apologise when you are at fault][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,5prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 6. Turn down a request for a meeting or a date [list,6. Turn down a request for a meeting or a date][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,6prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 7. Admit fear and request consideration [list,7. Admit fear and request consideration][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,7prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 8. Tell a person you are intimately involved with when they say or do something that bothers you [list,8. Tell a person you are intimately involved with when they say or do something that bothers you][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,8prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 9. Ask for a raise [list,9. Ask for a raise][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,9prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 10. Admit ignorance in some area [list,10. Admit ignorance in some area][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,10prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 11. Turn down a request to borrow money [list,11. Turn down a request to borrow money][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,11prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 12. Ask personal questions [list,12. Ask personal questions][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,12prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 13. Turn off a talkative friend [list,13. Turn off a talkative friend][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,13prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 14. Ask for constructive criticism [list,14. Ask for constructiev criticism][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,14prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 15. Initiate a conversation with a stranger [list,15. Initiate a conversation with a stranger][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,15prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 16. Complement a person you are romantically involved with or interested in [list,16. Complement a person you are romantically involved with or interested in][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,16prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 17. Request a meeting or a date with a person [list,17. Request a meeting or a date with a person][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,17prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 18. Your initial request for a meeting is turned down will you ask the person again at a later time [list,18. Your initial request for a meeting is turned down will you ask the person again at a later time][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,18prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 19. Admit confusion about a point under discussion and ask for a clarification [list,19. Admit confusion about a point under discussion and ask for a clarification][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,19prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 20. Apply for a job [list,20. Apply for a job][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,20prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 21. Ask whether you have offended someone [list,21. Ask whether you have offended someone][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,21prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 22. Tell someone that you like him or her [list,22. Tell someone that you like him or her][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,22prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 23. Request expected service when such is not forthcoming e.g. in a restaurant [list,23. Request expected service when such is not forthcoming e.g. in a restaurant][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,23prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 24. Discuss openly with the person his or her criticism of your behaviour [list,24. Discuss openly with the person his or her criticism of your behaviour][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,24prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 25. Return defective items e.g. in a shop or restaurant [list,25. Return defective items e.g. in a shop or restaurant][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,25prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 26. Express an opinion that differs from that of the person you are talking to [list,26. Express an opinion that differs from that of the person you are talking to][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,26prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 27. Resist sexual overtones when you are not interested [list,27. Resist sexual overtones when you are not interested][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,27prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 28. Tell the person when you feel he or she has done something that is unfair to you [list,28. Tell the person when you feel he or she has done something that is unfair to you][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,28prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 29. Accept a date [list,29. Accept a date][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,29prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 30. Tell someone good news about yourself [list,30. Tell someone good news about yourself][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,30prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 31. Resist pressure to drink [list,31. Resist pressure to drink][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,31prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 32. Resist a significant persons unfair demand [list,32. Resist a significant persons unfair demand][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,32prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 33. Quit a job [list,33. Quit a job][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,33prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 34. Resist pressure to "turn on" [list,34. Resist pressure to "turn on"][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,34prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 35. Discuss openly with the person his or her criticism of your work [list,35. Discuss openly with the person his or her criticism of your work][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,35prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 36. Request the return of borrowed items [list,36. Request the return of borrowed items][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,36prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 37. Receive compliments [list,37. Receive compliments][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,37prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 38. Continue to converse with someone who disagrees with you [list,38. Continue to converse with someone who disagrees with you][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,38prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 39. Tell a friend or someone with whom you work when he or she says or does something that bothers you [list,39. Tell a friend or someone with whom you work when he or she says or does something that bothers you][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,39prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] 40. Ask a person who is annoying you in a public situation to stop. [list,40. Ask a person who is annoying you in a public situation to stop.][option,1-none,1 - none][option,2-a little,2 - a little][option,3 - a fair amount,3 - a fair amount][option,4 - much,4 - much][option,5 - very much,5 - very much][/list] [list,40prob][option,1-always do it,1-always do it][option,2-usually do it,2 - usually do it][option,3 - do it about half the time,3 - do it about half the time][option,4-rarely do it,4 - rarely do it][option,5-never do it,5 - never do it][/list] PLEASE ADD UP YOUR SCORES using the evaluation numbers from your selections. Discomfort [text,discomfort,10] Probability [text,probability,10] ------------------------------------------------------------------------ Questions or Comments? [textarea,questions or comments,3,70] [checkbox,send copy,checked] To receive a copy of your work here. Uncheck it if you have printed off a hardcopy for yourself. [submit,SEND this Entry][reset,Start Over again] [/form]

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