Calculators

Form C4F: Behavioral Inhibition Scale — Informant Questionnaire

Directions: Indicate how well each statement describes the subject's CURRENT behavior. There are no right or wrong answers; we just want to get your impression of how you think the subject typically behaves. If you have questions about how to complete this questionnaire, please ask a staff member, and they will be happy to help you.

1.
If the subject thinks something unpleasant is going to happen, he/she usually gets pretty "worked up."
2.
The subject worries about making mistakes.
3.
Criticism or scolding hurts the subject quite a bit.
4.
The subject feels pretty worried or upset when he/she thinks somebody is angry at him/her.
5.
Even if something bad is about to happen to the subject, he/she rarely experiences fear or nervousness.
6.
The subject feels worried when he/she thinks he/she has done poorly at something.
7.
The subject has very few fears compared to his/her friends.

For clinic use only

BIS Total Score (7–28):
13

If you’re unable to find what you’re looking for, please don’t hesitate to contact us.

4311 – 11th Avenue NE, Suite 300, Seattle, WA 98105 |(206) 543-8637 | NACCmail@uw.edu

University of Washington

NACC is funded by the National Institute on Aging (U01 AG016976) and located in the Department of Epidemiology at the University of Washington School of Public Health, Walter A. Kukull, Ph.D., Director. © 2021 University of Washington