Exit Emotion and Personality Survey 1. General Information Question Title * How did you hear about this study? Listserve (Please specify below) Link from another website (Please specify below) Craigslist city (Please specify below) Web search From a friend Other (Please specify below) Please specify Question Title * What is your age? Question Title * Gender: Male Female Question Title * What ethnic/racial/cultural, and/or national background do you most identify with? European American African American Asian American Latin American Middle Eastern American Indian (from India) American Native American Pacific Islander American Other (please specify) Question Title * In what country did you spend most of your youth? Question Title * In what city and state did you spend most of your youth? Question Title * What is the zip code/postal code of the place where you spent most of your youth? Question Title * How long did you live there? (In years) Question Title * In what country are you currently living? Question Title * In what city and state do you currently live? Question Title * What is the zip/postal code of the place where you currently live? Question Title * How long have you lived there? (In years) Question Title * Where would you place your parents on the following spectrum for social class? Lower class Working class Middle class Upper class Question Title * If financially independent, where would you place yourself on the following spectrum for social class? (if you are not financially independent, please select the 'Not financially independent' option) Lower class Working class Middle class Upper class Not financially independent Question Title * Number of years of formal education your mother or father (whichever is the highest) has completed: 8th grade or below Some high school High school graduate Some college or university A.A./A.SB.A./B.S Some graduate school M.A./M.S Ph.D J.D M.D Question Title * Number of years of formal education you have completed: 8th grade or below Some high school High school graduate Some college or university A.A./A.SB.A./B.S Some graduate school M.A./M.S Ph.D J.D M.D Question Title * Are you active in sports? Yes No Question Title * If yes, which sports? Question Title * How much time do you spend participating in sport-related activities? Less than 1 hour per week 1-4 hours a week 5-10 hours a week 11-15 hours a week More than 15 hours a week Question Title * At what level do you participate in sports activity? Intercollegiate Intramural Individual Other (please specify) Question Title * What is or was your religious background i.e. what religion did you grow up with? Evangelical Protestant Church Mainline Protestant Church Historical Black Churches Catholic Orthodox Other Christian Mormon Jehovah's Witness Jewish Muslim Hindu Buddhism Jewish Muslim Hindu Buddhist Mormon None Other (please specify) Question Title * Sexual Orientation: Heterosexual Homosexual Bisexual Question Title * What is your current relationship status? (please check the one that applies best to you) Married/living with an intimate other Separated/divorced Never married Widowed Question Title * Have you ever had a problem with drugs/alcohol? Yes No If yes, what was your drug of choice? Question Title * If you have or had a problem with drugs/alcohol, please indicate: used to have a problem, but stopped using over a year ago used to have a problem, but stopped using a year ago used to have a problem, but stopped using 6-11 months ago used to have a problem, but stopped using 3-6 months ago used to have a problem, but stopped using 1-3 months ago used to have a problem, but stopped using within last 30 days currently using Question Title * Do you have any psychiatric or mental health condition(s)? (e.g., depression, anxiety, panic attacks, etc.) Yes No Question Title * If yes, what psychiatric or mental health condition(s) do you have? Condition 1 ADHD Substance Abuse Disorder Adjustment Disorder Asperger Syndrome Autism Irritability OCD OC Spectrum Disorder Panic Attacks Phobia(s) PTSD Public Speaking Anxiety Social Phobia Anxiety Disorder Depression/Anxiety Depression (Unipolar Mood Disorder Bipolar I Bipolar II Bipolar Spectrum Disorder Cyclothymia Dysthymia Borderline Personality Disorder Impulse Disorder(s Insomnia/Sleep Disorder Psychotic Disorder NOS Schizoaffective Disorder Schizophrenia Sexual Disorder(s) Condition 1 menu Condition 2 ADHD Substance Abuse Disorder Adjustment Disorder Asperger Syndrome Autism Irritability OCD OC Spectrum Disorder Panic Attacks Phobia(s) PTSD Public Speaking Anxiety Social Phobia Anxiety Disorder Depression/Anxiety Depression (Unipolar Mood Disorder Bipolar I Bipolar II Bipolar Spectrum Disorder Cyclothymia Dysthymia Borderline Personality Disorder Impulse Disorder(s Insomnia/Sleep Disorder Psychotic Disorder NOS Schizoaffective Disorder Schizophrenia Sexual Disorder(s) Condition 2 menu Condition 3 ADHD Substance Abuse Disorder Adjustment Disorder Asperger Syndrome Autism Irritability OCD OC Spectrum Disorder Panic Attacks Phobia(s) PTSD Public Speaking Anxiety Social Phobia Anxiety Disorder Depression/Anxiety Depression (Unipolar Mood Disorder Bipolar I Bipolar II Bipolar Spectrum Disorder Cyclothymia Dysthymia Borderline Personality Disorder Impulse Disorder(s Insomnia/Sleep Disorder Psychotic Disorder NOS Schizoaffective Disorder Schizophrenia Sexual Disorder(s) Condition 3 menu If there are any other condition(s), please list here Question Title * Do you take any medication for psychiatric or mental health condition(s)? Yes No Question Title * What medication(s) do you take, and for what condition(s)? Condition Medication First ADHD Substance Abuse Disorder Adjustment Disorder Asperger Syndrome Autism Irritability OCD OC Spectrum Disorder Panic Attacks Phobia(s) PTSD Public Speaking Anxiety Social Phobia Anxiety Disorder Depression/Anxiety Depression (Unipolar Mood Disorder Bipolar I Bipolar II Bipolar Spectrum Disorder Cyclothymia Dysthymia Borderline Personality Disorder Impulse Disorder(s Insomnia/Sleep Disorder Psychotic Disorder NOS Schizoaffective Disorder Schizophrenia Sexual Disorder(s) First Condition menu Adderall</Cytomel Depakote Dexadrine Effexor (venlafaxine) Elavil Geodon (ziprasidone) Inderal (propranolol) Klonopin (clonazepam) Lamictal (lamotrigine) Lexapro lithium Luvox (fluvoxamine) Mirapex< Neurontin (gabapentin) Nortriptyline Oxycontin (oxycodone) Paxil (paroxetine) Propranolol Prozac (fluoxetine) Ritalin</option> Sertraline (Zoloft) SonataStrattera Tegretol (carbamazepine) Topamax (topirimate) Trileptal (oxcarbazepine) Trazodone Valium (diazepam) Wellbutrin (bupropion) Xanax (alprazolam) Zoloft (sertraline) Zyprexa (olanzapine) First Medication menu Second ADHD Substance Abuse Disorder Adjustment Disorder Asperger Syndrome Autism Irritability OCD OC Spectrum Disorder Panic Attacks Phobia(s) PTSD Public Speaking Anxiety Social Phobia Anxiety Disorder Depression/Anxiety Depression (Unipolar Mood Disorder Bipolar I Bipolar II Bipolar Spectrum Disorder Cyclothymia Dysthymia Borderline Personality Disorder Impulse Disorder(s Insomnia/Sleep Disorder Psychotic Disorder NOS Schizoaffective Disorder Schizophrenia Sexual Disorder(s) Second Condition menu Adderall</Cytomel Depakote Dexadrine Effexor (venlafaxine) Elavil Geodon (ziprasidone) Inderal (propranolol) Klonopin (clonazepam) Lamictal (lamotrigine) Lexapro lithium Luvox (fluvoxamine) Mirapex< Neurontin (gabapentin) Nortriptyline Oxycontin (oxycodone) Paxil (paroxetine) Propranolol Prozac (fluoxetine) Ritalin</option> Sertraline (Zoloft) SonataStrattera Tegretol (carbamazepine) Topamax (topirimate) Trileptal (oxcarbazepine) Trazodone Valium (diazepam) Wellbutrin (bupropion) Xanax (alprazolam) Zoloft (sertraline) Zyprexa (olanzapine) Second Medication menu Third ADHD Substance Abuse Disorder Adjustment Disorder Asperger Syndrome Autism Irritability OCD OC Spectrum Disorder Panic Attacks Phobia(s) PTSD Public Speaking Anxiety Social Phobia Anxiety Disorder Depression/Anxiety Depression (Unipolar Mood Disorder Bipolar I Bipolar II Bipolar Spectrum Disorder Cyclothymia Dysthymia Borderline Personality Disorder Impulse Disorder(s Insomnia/Sleep Disorder Psychotic Disorder NOS Schizoaffective Disorder Schizophrenia Sexual Disorder(s) Third Condition menu Adderall</Cytomel Depakote Dexadrine Effexor (venlafaxine) Elavil Geodon (ziprasidone) Inderal (propranolol) Klonopin (clonazepam) Lamictal (lamotrigine) Lexapro lithium Luvox (fluvoxamine) Mirapex< Neurontin (gabapentin) Nortriptyline Oxycontin (oxycodone) Paxil (paroxetine) Propranolol Prozac (fluoxetine) Ritalin</option> Sertraline (Zoloft) SonataStrattera Tegretol (carbamazepine) Topamax (topirimate) Trileptal (oxcarbazepine) Trazodone Valium (diazepam) Wellbutrin (bupropion) Xanax (alprazolam) Zoloft (sertraline) Zyprexa (olanzapine) Third Medication menu Question Title * If you take any other medication(s) for psychiatric or mental health condition(s), please list here along with for what condition(s) you take the medication(s). 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