The following 4 questions ask about your mental health condition over the past 1 month. (Note: Please do not consider the experience after taking alcohol or illegal drugs.)

    Yes No
1. Has she heard unusual sounds like banging, clicking, hissing, clapping or ringing that others could not hear; or, seen unusual things that others could not see?
2. Has she had experiences with telepathy, psychic forces, or fortune telling?
3. Does she sometimes get strange feelings on or just beneath her skin, like bugs crawling?
4. Has she had the sense that some person or force is around her, although she couldn’t see anyone?