Patient Forms Personality Assessment: Personality Inventory for DSM-5 – Brief Form (PID-5-BF) – Adult Name* Today's Date* Age* GenderMaleFemaleInstructions: This is a list of things different people might say about themselves. We are interested in how you would describe yourself. There are no right or wrong answers. So you can describe yourself as honestly as possible, we will keep your responses confidential. We’d like you to take your time and read each statement carefully, selecting the response that best describes you. 1. People would describe me as reckless.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 2. I feel like I act totally on impulse.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 3. Even though I know better, I can’t stop making rash decisions.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 4. I often feel like nothing I do really matters.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 5. Others see me as irresponsible.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 6. I’m not good at planning ahead.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 7. My thoughts often don’t make sense to others.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 8. I worry about almost everything.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 9. I get emotional easily, often for very little reason.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 10. I fear being alone in life more than anything else. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 11. I get stuck on one way of doing things, even when it’s clear it won’t work.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 12. I have seen things that weren’t really there.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 13. I steer clear of romantic relationships.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 14. I’m not interested in making friends.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 15. I get irritated easily by all sorts of things.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 16. I don’t like to get too close to people.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 17. It’s no big deal if I hurt other peoples’ feelings. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 18. I rarely get enthusiastic about anything. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 19. I crave attention. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 20. I often have to deal with people who are less important than me. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 21. I often have thoughts that make sense to me but that other people say are strange.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 22. I use people to get what I want.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 23. I often “zone out” and then suddenly come to and realize that a lot of time has passed. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 24. Things around me often feel unreal, or more real than usual.Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True 25. It is easy for me to take advantage of others. Select value0 = Very False or Often False1 = Sometimes or Somewhat False2 = Sometimes or Somewhat True3 = Very True or Often True reCAPTCHASubmitReset
