ag Booklet eee D Bell’s Adjdutinens Inventory \ 3 (Indian Adaptation) = Revised Edition R.K. Ojha (Moradabad) please fill in the! following informations :-— se father’s Occupation.. Monthly Income. .. Education...... INSTRUCTIONS If you answer each statement properly of this inventory honestly and devotedly then | can tell you whether you possess complete adjustment personality or some short-comings. If you are not living with your parents, then answer such statement keeping in view the persons with whom you are living. This inventory consists of four parts. 35 statements are given in each part. Two alternatives ‘Yes’ and ‘No’ are given against each statement. If you wish to answer the statement in ‘Yes’ |.e. you agree with the facts given inthe statement then put a ¢ross (x) in the box given below ‘Yes’. If your answer Is negative Le. you do not agree with thefacts-givén in the statement then put a cross ( x) in the box given below ‘No’. Though there is.not time limit, still try to ansivér all the statements quickly. SCORING TABLE Interpretation Estd. 1983 © (0522) 354807 ~ANKUR PSYCHOLOGICAL AGENCY ._ 22/481, INDIRA NAGAR, LUCKNOW ~ 226 0161. 2 3. 4 5. 6. 7. 8. 3: 10. 11. 12. 13. 14, 1 5. 16. 17. 18. 19. mabe Booklet o ofBAl STATEMENT jdea of absconding the home 2 Oo ou ever had a firm rents are not satisfied with you ? oO Have y' pe you ever feel that your Pa Areyou sad famity ? Do your mother have supremacy in your family. . e by your father to run your with the works don Has anyone among Your mother-father ever condemn you in vain? 4 Do. you think that.there is no true affection in the family ? im Do you always have good relations with your father ? o em instead of paying Do your parents stress upon obeying th attention to your matters. wful, has anyone in your family Being your family life sorro become ill or died? me appears to you sorrowful because of Shortage Do your ho _of money 7: Has your parehts éver suspected upon your character ? Do your paren! you remain with iz Doyour mother or father irritates soon ? nts forbid you to remain with such type of friends. Do yous mostly jemalns disagree with your parents regarding the process of work at home 7 Do family quarrels usually occur between your relations ? Do you mostly keep on quarrelling with your brothers and sisters ? Do your parents understand you to be a child and do not think that you have grown up now ? y Do you ‘feel that your parents are unnecessarily strict with you? Do any of your parents have any peculiar habit which you hates ?° Res otal Tap fale al Bp o6027. 28. 29. 30. 31. 32. 33. 34, 35, 26. specific work 2 3, Doyou sometimé tee} angry. and some! family members accord} ae i ime hay ling to the.time 2 a ee 24, Doyour mother loves you very much > 2s. Do.your mother or father gets arigry soon? Do all the essential things exists inyour house Db the ideals of life of Your father match with your ideals 2 Has your parents éver provoked you for your personal figure and colour 2 Do the ideas of your mother-father not match with each other ? Did your parents oftenly beat you between the age of 10 and 15 years? = ~ Are you not in agreement with the ideas o} f your parents regarding your aims of life 2 Is any of your mother-fathier of irritant habit ? Do your ‘nother or father keep you in strict control 2 Do you ever think that your parefits are uriable to understand you? of ai Do you feel that the family life of your friends is more pleasant than your ? . PART IL 1, Do you get afraid soen with others 2 2. Do your eyes feel difficulty in facing very bright light ? 3. A aR re you a patient of asthama or malaria‘etc. ? ave you. ever had Diphtheria or high fever in childhood ? BO 0 0-09 Oo Oo) oo 8 2 oe ase | oO 8.Tm etna STATEMENT YES. &. Doyoualways remain afflict by headache ? oO 6 Do youteel difficulty in sleeping. when there is any kind of notse Inthouse ? : Qo oO 7. Do you usually feel more tired at the end of the day 2 oO 5 a. Rave you redueed some of your body weight these days ? oO D 9, Have you ever had seflous Injury in any accident ? o g 10. Have aN had any surgical operation ? oO _ 41. Do you feeknuch cold ? : go o 42. Do youusually get afflict with influenza 7 : o uo. 13, Did you ever become serious ill during last ten years ? o oO 14, _ Are you suffering from the problem of gas ? oO oO ie 15. Do youfeel giddiness ? o 16. Do your eyes pains usually ? gO g 17. . Do youfee! tiredness when you wakes-up in the marning ? fe oO 18. Do you oftenly take medicines ? Oo ic. 19, Do you usually feel like tired 7 oD o 20. Do you usually get indigestion problem? oO im 21. “Do youusually get sour thrdat 2° a oO 22. Do you usually have iscaeel of vomiting or diarrhorea ? eed o % 23, Do you have much problem of constipation 2 2 : (le 24. Have you been too much ill duting your childhood io oO o 25. Do youi feel difficulty In breathing with nose ? o oO 26. Do you ever have sharp headache ? | : oO (a 27, Is your body weight less thanaan average ? o oO 28. Do youusually take your food before feeling hungry ? oO fa 29. Do you use spectacles ? oO ci 30," Do you think necessary to take Care of your health? o oO 31. Are you usually absent because of illness ? Oo o_ STATEMENT Consumable Booklet of BA ‘|5 Are your teeth'such that you feel necessary for medicati ion? Do you have any trouble in heart, lungs or kidney 2 , ey Have you ever had'skin disease 2 Do you have trouble in getting rid of cold? e PART II Do you enjoy Social gatherings Just to meet the persons 2 Do you like to meet the chief uest while att reception function 2 a ending any Do you take responsibility of introducing persons while attending stich functions ? Do you feel difficulty in giving proper answer while taking part in group conversation ? Have you been leader of any:party2 s Do you hesitate In going any meeting when all ihe persons have seater Can you deliver speech in the presence of all in the class ? Do you kegp on talking with your, fellow travellers white travelling by rail or bus ? Do you feel easy in asking help from others ? Do you get harrass with your shyness ? Do you enjoy in starting conversation ‘in public ? Do you have experience of planning and directing the works of public? Do you feel difficulty in talking with any new known person ? Do you find yourself unable in answering In the class even remembering the answer ? Do you feel easy in having friendship with opposite sex YES no | o Oo Oo 0 oO Oo oO Oo Pata] Oo wha Bo oO oO o Oo eer) o oO es) Cee o ul oO a i) o Oo Oo 0 oO oO [ili oO Oo person?16. 17. 18. 19. 20. 21. 22. 23. 2a. 25. 26. 27. 28. 29: 30. 31. 32, 33. 35. 6 | Consumable ‘Boo! iKlet of BAL ers instead, of asking others. ork for oth Pr adinner? re given delivering speech in mi ring speech.in presence of “Would you like t ; you if you a to dowork for y! eetings ? oypu have experience In Do you have difficulty In delive persons ? social dances ? F ke something you want iting a letter or asking Do you enjoy more onally and ta Will you prefer to go pers ee instead of wr from an unknown person any other person to bring it ? % Foci Do you feel selt-tespect in living with the persons you admire most and not known fully ? Have you ever been a leader of any social programme ? 2 Do you move sideways on road to side the ‘eye-sight of any specific person? Will you prefer to stand or come back on reaching late in any meeting instead of sit_ing infront ? Do you make friends with readiness? Are you leader in any party? Do you prefer to have lieastily friendship with some spetific persons instead of having acquaintance with more persons ?° Do you feel'dishearted in-seeking permission forteaving. any specific; party of persons it you wish to leave it? Do you lag behind n soclal functions ? Do you get perplex all t De yeu ast per gether; if any teacher calls y you all of a Do you feel difficult to talk Sin a stranger ? Are you delighted In taking part in faits. and gatherings 2 Do'you understand selt-r. ane Be mae ‘©spected In'speaking on any subject Do you hesitate In ‘Speaking In the class 2” Do you hesitate In enterl, ng A talking with each other i he room If some’ personsare Oo bo re oO, a ooo (oleae) Glee ch Ge Ell = 5) @ @ eh (habe) tomerConsumable BOOK of BAT [7 ‘STATEMENT YES ne io PART IV : 1. Doyou day-dreams ? oO | 2, Is testing by doctor for any disease frightens you ? fe} 3. Do you sometimes get sad for unknown reasons ? Oo 4. Have you ever felt that’ someone may hypnotise you and make you work against your will 2 o } 5. . Do you feel lonely while staying in a crowd ? oO i: 6, Doyou feel tired at the-end of the day? fs} |. 7, Doyou get frighten with the idea ot earthquake or fire ? eee 8. Do tears in-you eyes come soon? 9, Do you get frighten on seeing a snake ? 40. Are you held corivicted even if you are not guilty ? + 11. Do lightening frightens you ? 42, Do you get discourage repeatedly on securing less marks in examinations ? z 43. Do you feel jealous of others being happy. ? sees : 14; Do. you Joose courage very easily ? 15... Do you.usually feel sad upon your acts ? 46 Have you ever got frighten of failing down after climbing a high mountain ? 4 47. D6 you get angry very soon? / 48, Do you usually remain sad ? 49, Do you get perplexed with the feeling of inferiority ? 20,. Do you understand yourself strong ? Soooee Beep opooodoo oa0 BoP oe es aces ooo 21, Doyou easily get shy ?ge +) #$umable-Booklet-of BA + S: No. STATEMENT YES No 22, Jbyou feel troubled with any hearsay ? 0 0 23. DB your feeling get hurt with any hearsay 1? oO o 24, Dayou become troubled with probable difficulties ? o B 25, Do you ever get worrled for the persong may not read your ideas? Oo o 26, Do you ever have an Idea that persons are sepoying you on- the road 2 Oo 27. .Do you get much troubled on hearing your complaints ? oO 28. Do you usually get irritate? oO o 29, Do you sometimes have useless ideas-In your brain and feel distressed with them ? ) o 30, Do you get agitated soon? o oO 31. Doyou get too much distressed with your experiences of poverty ? o oO 32. Do-you get too. much frighten with a person even knowing that ; he cannot'harm you ? L oO Oo 39, Do you get happy and sad on and of without any specific reason 5 1 see) Oo 34, Do you ever haye an Idea of your being unable to sleep 2 o oO '35.. -Doyou-fear-i a eae ipa 0 o © Revised Edition 1999. All ri i form is « violation . ights teserved. Reproducti y n of : J e lion in any : : Copyright Act. Bei's Adjustment inventory (BAip. (enalish Version) ;