Young Schema Questionnaire – Short Form

INTRUCTIONS: Listed below are statement that a person might use to describe him or herself. Please read each statement and decide how well it describes you. When you are not sure, base your answer on what you emotionally feel, not on what you think to be true. Choose the highest rating from 1 to 6 that describes you and write the number in the space before the statement.

1- Completely untrue of me
2- Mostly untrue of me
3- Slightly more true than untrue
4- Moderately true of me
5- Mostly true of me
6- Describes me perfectly

1. Most of the time, I haven’t had someone to nurture me, share him/herself with me, or care deeply about everything that happens to me.