Date: _________________
Subject ID: _______________
IP-IP - modified
Instructions:
The following pages contain phrases describing people's behaviors. Please use the rating scale below to
describe how accurately each statement describes you. Describe yourself as you generally are now, not as
you wish to be in the future. Describe yourself as you honestly see yourself, in relation to other people you
know of the same sex as you are, and roughly your same age. So that you can describe yourself in an honest
manner, your responses will be kept in absolute confidence. Please read each statement carefully, and then
check the box that corresponds to the accuracy of the statement. Please answer every item.
Neither
Accurate
Very
Moderately
Nor
Moderately
Very
Inaccurate Inaccurate Inaccurate Accurate Accurate
1. Know how to captivate people.
1
2
3
4
5
2. Often feel blue.
1
2
3
4
5
3. Rarely get irritated.
5
4
3
2
1
4. Make friends easily.
1
2
3
4
5
5. Keep in the background.
5
4
3
2
1
6. Dislike myself.
1
2
3
4
5
7. Don't talk a lot.
5
4
3
2
1
8. Have little to say.
5
4
3
2
1
9. Seldom feel blue.
5
4
3
2
1
10. Panic easily.
1
2
3
4
5
11. Am often down in the dumps.
1
2
3
4
5
5
4
3
2
1
13. Am not easily bothered by things.
5
4
3
2
1
14. Don't like to draw attention to myself.
5
4
3
2
1
12.
Would describe my experiences as
somewhat dull.
IP-IP Page 1 of 2
Date: _________________
Subject ID: _______________
Neither
Accurate
Very
Moderately
Nor
Moderately
Very
Inaccurate Inaccurate Inaccurate Accurate Accurate
15. Am the life of the party.
1
2
3
4
5
16. Feel comfortable with myself.
5
4
3
2
1
17. Feel comfortable around people.
1
2
3
4
5
Am skilled in handling social
situations.
1
2
3
4
5
19. Am very pleased with myself.
5
4
3
2
1
20. Have frequent mood swings.
1
2
3
4
5
18.
IP-IP Page 2 of 2