Questionnaire | Cygnet Schema Integrative Report

Young Schema Questionnaire

YSQ-S3 (90 Items)

Instructions:

Listed below are statements that people might use to describe themselves. Please read each statement, then rate it based on how accurately it fits you over the past year.

When you are not sure, base your answer on what you emotionally feel, not on what you think to be true.

Rating Scale:

1 = Completely untrue of me4 = Moderately true of me2 = Mostly untrue of me5 = Mostly true of me3 = Slightly more true than untrue6 = Describes me perfectly

Your Name

Email Address

Date of Birth (DD/MM/YYYY)

Gender

Which parts of your life are you particularly concerned about at the moment? (Select all that apply)

Psychologist's Name