APPENDIX - II

BELL’S ADJUSTMENT INVENTORY - STUDENT FORM

Note : Please answer all the questions on the following pages simply by encircling
the answer which you think most nearly applies to you. It is important that
you try to answer all the questions. There are no right and wrong answers.

Thank you very much for your co-operation.

If you have not been living with your parents, answer certain of the questions
with regard to the people with whom you have been living.

Did you ever have a strong desire to Yes No Uncertain

runaway from home ?

Do you catch cold rather easily from Yes No Uncertain

other people ?

Do you enjoy social gathering just Yes No Uncertain

to be with people ?

Do you day dream frequently ? Yes No Uncertain

Do you some times feel that your Yes No Uncertain

parents are disappointed in you ?

Are your eyes sensitive to light ? Yes No Uncertain

 7. At party, or a social gathering do Yes No Uncertain
you try to meet the important person
present ?

8. Does it frighten you when you have Yes No Uncertain

to see a doctor about some illness ?

9. Have you been embarrassed because of Yes No Uncertain

the type of work your father does in
order to support the family ?

10. Do you get hay fever or Asthma ? Yes No Uncertain

11. Do you take responsibility for

introducing people at a party ? Yes No Uncertain

12. Do you frequently feel depressed ? Yes No Uncertain

13. Does your mother tend to dominate Yes No Uncertain

your home?

14. Have you ever had scarlet fever or Yes No Uncertain

diptheria ?

15. Do you often have much difficulty in Yes No Uncertain

thinking of an appropriate remark to
make in group conversation?

16. Have you ever felt that some one was Yes No Uncertain
hypnotising you and making you act
against your wish?
17. Has either of your parents frequently Yes No Uncertain
criticized you unjustly ?

18. Do you have many head aches ? Yes No Uncertain

19. Do you ever take the lead to make Yes No Uncertain

a dull party lively ?

20. Do you often feel lonely, even when Yes No Uncertain

you are with people ?

21. Do you feel there is a lack of Yes No Uncertain

real affection and love in your home ?

22. Do you sane times have difficulty Yes No Uncertain

getting to sleep, even when there are
no noires to disturb you ?

23. Do you feel embarrassed when you have Yes No Uncertain

to enter a public meeting after everyone
else has been seated ?

24. Does the thought of an earthquake or Yes No Uncertain

a fire frighten you ?

25. Has your relationship with your father Yes No Uncertain

usually been pleasant ?

26. Do you frequently get tired toward the Yes No Uncertain

end of the day ?
27. In College, is it difficult for you to Yes No Uncertain
give an oral answer before the class ?

28. Are you easily moved to tears ? Yes No Uncertain

29. Has any of your parents insisted on your Yes No Uncertain

obeying him cm- her regardless of whether
or not the request was reasonable ?

30. Have you lost weight recently ? Yes No Uncertain

31. When going on a train or bus, do you Yes No Uncertain

sometimes engage fellow travellers
in conversation ?

32. Do you dread the sight of a snake ? Yes No Uncertain

33. Has illness or death among your Yes No Uncertain

immediate family tended to make home
life unhappy for you ?

34. Have you ever been seriously injured Yes No Uncertain

in any kind of an accident ?

35. Do you find it easy to ask others Yes No Uncertain

for help ?

36. Do things often go wrong for you Yes No Uncertain

for no fault of your own ?
37. Has lack of money tended to make Yes No Uncertain
home unhappy for you ?

38. Have you ever had a surgical operation ? Yes No Uncertain

39. Are you troubled by shyness ? Yes No Uncertain

40. Are you frightened by lightning ? Yes No Uncertain

41. Has either of your parents frequently Yes No Uncertain

found fauk with your conduct ?

42. Do you have many colds ? Yes No Uncertain

43. Would you rather feel very self- Yes No Uncertain

conscious if you volunteer an idea
to start discussion among a group
of people ?

44. Have you frequently been depressed Yes No Uncertain

because of low marks in school/college ?

45. Have your parents frequently objected Yes No Uncertain

to the kind of friends/companions that
you go around with ?

46. Are you subject to attacks of influenza Yes No Uncertain

(fever) ?

47. Have you had experience in making plans Yes No Uncertain

for and directing the actions of other
people ?
48. Do you some times envy the happiness Yes No Uncertain
that others seem to enjoy ?

49. Is your father or mother very Yes No Uncertain

easily irritable ?

50. Have you had considerable illness Yes No Uncertain

during the last ten years ?

51. Do you have difficulty in starting Yes No Uncertain

conversation with a person with whom
you have just been introduced ?

52. Do you get easily discouraged ? Yes No Uncertain

53. Have you frequently disagreed with Yes No Uncertain

either of your parents about the way
in which the work about the home should
be done ?

54. Do you frequently suffer discomfort Yes No Uncertain

from gas in the stomach cr intestine ?

55. Have you frequently known the answers to Yes No Uncertain

questions in class but failed to answer
when questioned because you were afraid
to speak out before the class ?

56. Are you often sorry for the things you do? Yes No Uncertain
57. Have there been frequent family Yes No Uncertain
quarrels among your near relatives ?

58. Do you frequently have spells of Yes No Uncertain

dizziness ?

59. Do you find it easy to make friendly Yes No Uncertain

contacts with members of the opposite sex?

60. Have you ever been afraid that you might Yes No Uncertain
jump off when you were in a high place ?

61. Have you frequently quarreled with your Yes No Uncertain

brothers and sisters ?

62. Do you get eye strain ? Yes No Uncertain

63. If you were a guest at an important Yes No Uncertain

dinner would you forego something rather
than ask for it to be served to you ?

64. Do you get angry easily ? Yes No Uncertain

65. Do you think your parents fail to Yes No Uncertain

recognize that you are a growing person
and hence treat you as if you are still
a child ?

66. Do you feel fatigue when you get up Yes No Uncertain

in the morning ?
67. Have you had a number of experiences Yes No Uncertain
in appearing before public gathering ?

68. Do you often feel just miserable ? Yes No Uncertain

69. Do you feel that your parents have Yes No Uncertain

been unduly strict with you ?

70. Has it been necessary for you to have Yes No Uncertain

frequent medical attention ?

71. Do you find it difficult to speak Yes No Uncertain

in public ?

72. Are yew troubled with feelings of Yes No Uncertain

inferiority ?

73. Does either of your parents have certain Yes No Uncertain

personal habits which irritate you ?

74. Do you feel tired most of the time ? Yes No Uncertain

75. Do you enjoy social occasions/ Yes No Uncertain

get-togethers a great deal ?

76. Do you consider yourself rather a Yes No Uncertain

narrow person ?

77. Do you love your mother more than Yes No Uncertain

your father ?
78. Do you frequently get attacks of Yes No Uncertain
indigestion ?

79. When you want something from a Yes No Uncertain

person with whom you are not very well
acquainted, would you rather write a
note or letter to the individual than
go and ask him or her personally ?

80. Do you often feel self conscious Yes No Uncertain

because of your personal appearance ?

81. Have you frequently had to keep quiet Yes No Uncertain

or leave the house in order to have
peace at home ?

82. Are you subject to tonsilitis or Yes No Uncertain

laryngitis ?

83. Do you feel self-conscious in the Yes No Uncertain

presence of people whom you greatly
admire, but with whom you are not
well acquainted ?

84. Do you blush easily ? Yes No Uncertain

85. Have the actions of either of your Yes No Uncertain

parents aroused a feeling of great
fear in yon at times ?
86. Do you frequently experience nausea or Yes No Uncertain
vomiting or diarrhea ?

87. Are you sometimes the leader at a Yes No Uncertain

social affair ?

88. Are you ever bothered by a feeling that Yes No Uncertain

things are not real ?

89. Do you occasionally have conflicting Yes No Uncertain

moods of love and hate for members of
your family ?

90. Are you troubled much with constipation ? Yes No Uncertain

91. Do you ever cross the road/street to Yes No Uncertain

avoid meeting somebody ?

92. Are your feelings easily hurt ? Yes No Uncertain

93. Have your relationships with your Yes No Uncertain

mother usually been pleasnt ?

94. Were you ill much of the time during Yes No Uncertain
your childhood ?

95. If you come late to a meeting would you Yes No Uncertain

rather stand or leave than take a front
seat ?
 96. Do you worry over possible misfortunes ? Yes No Uncertain

97. Does either of your parents become Yes No Uncertain

angry easily ?

98. Do you frequently have difficulty in Yes No Uncertain

breathing through your nose ?

99. Do you make friends easily ? Yes No Uncertain

100. Are you bothered by the feeling that Yes No Uncertain

people are reading your thoughts ?

101. Was your home always supplied with the Yes No Uncertain
common necessities of life ?

102. Do you some times have shooting pains Yes No Uncertain

in the head ?

103. Are you often the centre of favourable Yes No Uncertain

attention at a party ?

104. Are you troubled with the idea that Yes No Uncertain
people are watching you on the street ?

105. Was your father what you would consider Yes No Uncertain
your ideal of manhood ?

106. Are you considerably underweight ? Yes No Uncertain

107. Do you find that you tend to have very Yes No Uncertain
few close friends ?

108. Does criticism disturb you very much ? Yes No Uncertain

109. Has either of your parents made you Yes No Uncertain

unhappy by critizing your personal
appearance ?

110. Do you frequently come to your meals Yes No Uncertain

without really being hungry ?

111. Do you feel embarrassed if you have Yes No Uncertain

to ask permission to leave a group
of people?

112. Are you often in a state of excitement ? Yes No Uncertain

113. Are your parents permanently separated ? Yes No Uncertain

114. Do you wear eye-glasses ? Yes No Uncertain

115. Do you keep in the background on Yes No Uncertain

social occasions ?

116. Does some particular useless thought Yes No Uncertain

keep coming into your mind to bother you ?

117. Did your parents frequently punish you Yes No Uncertain

when you were between 10 & 15 years of age?
118. Do you find it necessary to watch your Yes No Uncertain
health carefully ?

119. Does it upset considerably to have your Yes No Uncertain

teacher call on you unexpectedly ?

120. Do you get upset easily ? Yes No Uncertain

121. Have you disagreed with your parents Yes No Uncertain

about your life work ?

122. Have you frequently been absent from Yes No Uncertain

collegeNuniversity because of illness ?

123. Do you find it difficult to start Yes No Uncertain

conversation with a stranger ?

124. Do you worry long over humiliating Yes No Uncertain

experiences ?

125. Is either of your parents very nervous ? Yes No Uncertain

126. Do you have teeth that you know need Yes No Uncertain
dental attention ?

127. Do you like to participate in festival Yes No Uncertain

gatherings and lively parties ?

128. Have you ever been extremely afraid of Yes No Uncertain

something that you know could do no harm ?
129. Has either of your parents dominated Yes No Uncertain
you too much ?

130. Have you had any trouble with your Yes No Uncertain
heart or kidneys or your lungs ?

131. Do you feel self conscious when you Yes No Uncertain

recite in class ?

132. Do you have ups and downs in mood Yes No Uncertain

without apparent cause ?

133. Have you often felt that either of Yes No Uncertain

your parents did not understand you ?

134. Have you ever had a skin disease or Yes No Uncertain

skin eruption, such as athlete’s foot,
carbuncles, or boils ?

135. Do you hesitate to volunteer in a Yes No Uncertain

class recitation ?

136. Do ideas run through your head so Yes No Uncertain

that you cannot sleep ?

137. Have you felt that your Mends have Yes No Uncertain
had happier home life than you

138. Do you have difficulty in getting Yes No Uncertain

rid of a cold ?
139. Do yon hesitate to enter a room by Yes No Uncertain
yourself when a group of people are
sitting around the room talking
together ?

140. Does it frighten you to be alone in Yes No Uncertain

the dark ?
 BELL'S ADJUSTMENT INVENTORY -

KEY TO THE STUDENTS FORM

The following answers each get a score of 1.

Home Health Social Emotionality

1 - yes 2 - yes 3 - no 4 - yes

5 - yes 6 - yes 7 - no 8 - yes

9 - yes 10 - yes 11 - no 12 - yes

13 - yes 14 - yes 15 - yes 16 - yes

17 - yes 18 - yes 19 - no 20 - yes

21 - yes 22 - yes 23 - yes 24 - yes

25 - no 26 - yes 27 - yes 28 - yes

29 - yes 30 - yes 31 - no 32 - yes

33 - yes 34 - yes 35 - no 36 - yes

37 - yes 38 - yes 39 - yes 40 - yes

41 - yes 42 - yes 43 - no 44 - yes

45 - yes 46 - yes 47 - yes 48 - yes

49 - yes 50 - yes 51 - no 52 - yes

53 - yes 54 - yes 55 - yes 56 - yes

57 - yes 58 - yes 59 - no 60 - yes

61 - yes 62 - yes 63 - yes 64 - yes

65 - yes 66 - yes 67 - no 68 - yes

69 - yes 70 - yes 71 - yes 72 - yes

 73 - yes 74 - yes 75 - no 76 - yes

77 - yes 78 - yes 79 - yes 80 - yes

81 - yes 82 - yes 83 - no 84 - yes

85 - yes 86 - yes 87 - yes 88 - yes

89 - yes 90 - yes 91 - no 92 - yes

93 - no 94 - yes 95 - yes 96 - yes

97 - yes 98 - yes 99 - no 100 - yes

101 - no 102 - yes 103 - no 104 - yes

105 - no 106 - yes 107 - yes 108 - yes

109 - yes 110 - yes 111 - yes 112 - yes

113 - yes 114 - yes 115 - yes 116 - yes

117 - yes 118 - yes 119 - yes 120 - yes

121 - yes 122 - yes 123 - yes 124 - yes

125 - yes 126 - yes 127 - no 128 - yes

129 - yes 130 - yes 131 - yes 132 - yes

133 - yes 134 - yes 135 - yes 136 - yes

137 - yes 138 - yes 139 - yes 140 - yes

SCORING GUIDELINES :

Overall adjustment problems

0-23 = less adjustment problems

24 - 44 = moderate adjustment problems

45 and above = more adjustment problems

Home
o
Tfr

less adjustment problems

II
l

5-10 moderate adjustment problems

11 and above = more adjustment problems

Health
o
V"!

less adjustment problems

ii
I

6-9 moderate adjustment problems

10 and above = more adjustment problems

Social

0-9 Aggressive

10-20 Average

21 and above= Retiring

Emotional

0-5 less adjustment problems

6-11 moderate adjustment problems

12 and above = more adjustment problems