Measure of impulsivity scale

This section is concerned with a number of common behaviours and feelings about those behaviours. You may have experienced all, some or none of these behaviours at some time.

We are interested about how you have been feeling and what you have actually done in the past 2 months. Read the following statement and answer the questions by ticking the column which best applies to you.

In the past 2 months I have sometimes felt increasingly tense and had an almost irresistible urge to do something that I would not normally do. After doing this thing I feel a sense of relief, even though I may feel guilty.

Please complete all of the mandatory fields before pressing submit. If you do not complete these fields, the form will not be submitted to us.

Feelings and Behaviours

Note: Questions marked by * are mandatory


  Never Occasionally Sometimes Often Very often Always
*This is a mandatory field. Have you felt this way about eating a large amount of food in a short period of time (such as a food binge) in the past 2 months?
*This is a mandatory field. Have you actually binged on food like this in the past 2 months?
*This is a mandatory field. Have you felt this way about drinking alcohol in the past 2 months?
*This is a mandatory field. Have you drunk alcohol in this way in the past 2 months?
*This is a mandatory field. Have you felt this way about shoplifting or stealing something in the past 2 months?
*This is a mandatory field. Have you actually stolen anything in this way in the past 2 months?
*This is a mandatory field. Have you felt this way about gambling money in the past 2 months?
*This is a mandatory field. Have you actually gambled in this way in the past 2 months?
*This is a mandatory field. Have you felt this way about hitting someone or breaking something in the past 2 months?
*This is a mandatory field. Have you actually hit someone or damaged something in this way in the past 2 months?
*This is a mandatory field. Have you felt this way about provoking or getting into an argument or fight in the past 2 months?
*This is a mandatory field. Have you provoked a fight like this in the past 2 months?
*This is a mandatory field. Have you felt this way about setting fire to something in the past 2 months?
*This is a mandatory field. Have you set fire to something like this in the past 2 months?
*This is a mandatory field. Have you felt this way about hurting such as cutting or burning) yourself in the past 2 months?
*This is a mandatory field. Have you actually damaged yourself like this in the past 2 months?
*This is a mandatory field. Have you ever felt this way about taking an overdose in the past 2 months?
*This is a mandatory field. Have you taken an overdose in this way in the past 2 months?
*This is a mandatory field. Have you felt this way about taking illegal drugs in the past 2 months?
*This is a mandatory field. Have you actually taken drugs in this way in the past 2 months?
*This is a mandatory field. Have you felt this way about having sexual intercourse with anyone in the past 2 months?
*This is a mandatory field. Have you actually had sexual intercourse with someone like this in the past 2 months?
*