Items:

This scale consists of a number of words that describe different feelings and emotions. Read each item and then mark the appropriate answer in the space next to that word. Indicate to what extent [INSERT APPROPRIATE TIME INSTRUCTIONS HERE]. Use the following scale to record your answers.

Positive Affect
1. Enthusiastic
2. Interested
3. Determined
4. Excited
5. Inspired
6. Alert
7. Active
8. Strong
9. Proud 10. Attentive

Negative Affect
11. Scared
12. Afraid
13. Upset
14. Distressed
15. Jittery
16. Nervous
17. Ashamed
18. Guilty
19. Irritable
20. Hostile

Response Options:
Very slightly or not at all - 1
A little - 2
Moderately - 3
Quite a bit - 4
Extremely

Time options with instructions
Moment: you feel this way right now, that is, at the present moment
Today: you have felt this way today
Past few days: you have felt this way during the past few days
Week: you have felt this way during the past week
Past few weeks: you have felt this way during the past few weeks
Year: you have felt this way during the past year
General: you generally feel this way, that is, how you feel on the average