pvq-rr f arabic t0 grsa
demographics arabic t0

فيما يلي نقدّم وصفا في مدى التشابه او االختالف بينك وبين ًمختصراً ألشخاص مختلفين. الرجاء قراءة كل وصف والتفكير الشخص الموصوف.ثم نرجو وضع اشارة X في المربع الذي يشير إلى مدى التشابه بينك وبين الشخص الموصوف.  
الى أي مدى تشبهك هذه الشخصية؟  
| تشبهني                                       | تشبهني الى                                               | تشبهني   | ال ت   |    |    |                                                 |                                                                              |             |          |           |    |
|----------------------------------------------|----------------------------------------------------------|----------|--------|----|----|-------------------------------------------------|------------------------------------------------------------------------------|-------------|----------|-----------|----|
| شبهني                                        |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| كثيرا                                        | حد ما                                                    |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| تشبهني                                       | قليال                                                    |          |        |    |    |                                                 |                                                                              |             |          |           |    |
|                                              | أبدا                                                     |          |        |    |    |                                                 |                                                                              |             |          |           |    |
|                                              |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ال ت                                         |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| شبهني                                        |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
|                                              | .1                                                       |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| من المهم لهاتكوين آرائها بشكل مستقل.         |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
|                                             |                                                         |         |       |   |   |                                                 |                                                                              |             |          |           |    |
|                                             |                                                         |         |       |   |   | .                                               | .2                                                                           |             |          |           |    |
| من المهم لها أن يكون وطنها آمناً ومستق ّراً     | .3                                                       |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| من المهم لها ق                               |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ضاء أوقا                                     |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ت ممتعة.                                     |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .4                                                       |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| من المهم لها أن تتجنّ                         |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ب م                                          |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ضايقة اآلخرين.                               |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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| .5                                           |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| من المهم لها أن تتم حمايةال                  |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ضعفاء والمساكين والمهمشين في المجتمع.        | .6                                                       |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| من المهم لهاأن يفعل األخرون ما تأمرهم بفعله. |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                            |                                                         |         |       |   |   | .                                               | اآلخرين                                                                      | من          | أكثر     | أنهاتستحق | .7 |
| من المهم لها أن ال تعتقد أبداً                |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
|                                             |                                                         |         |       |   |   | .                                               | حمايةالطبيعة في                                                              | لهاالمساهمة | المهم من | .8        |    |
| لتشويه ال ُسمعة من قبل أ                      |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ي شخ                                         |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ص.                                           |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | ّال تتعر                                                  |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ض أبداً                                       | .9                                                       |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| من المهم لهاأ .10 من المهم لها البح          |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ث دائماً عنأشياءمختلفةللقيامبها.              |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .11 من المهم لها االهتمامباألشخا                         |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ص المق ّربين إليها.                           |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .12 من المهم لها امتالك القوة التي يمكن للمال أن يوفّرها. |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .13 من المهم جدّاَ لهاأن تتجّن                              |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ب األمرا                                     |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ض وأن تحافظ على                              |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ص ّحتها.                                      |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .14 من المهم لها تقبّلكافّة نوعيا                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ت النا                                       |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| س والمجموعا                                  |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ت السكانية.                                  |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                            |                                                         |         |       |   |   | .ظمُ ُ                                            | .15 من المهم لها أن ال تُخالفأبداً .16 من المهم لها أن تتخذ قراراتها بنفسها بخ | والن        | القوانين |           |    |
| صو                                           |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| ص حياتها.                                    |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .17 من المهم لهاأن تكون                                  |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| َط ُموحة في حياتها.                            |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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|                                             | .18 من المهم لها الحفاظ على طرق التفكير والقيم المجتمعية |          |        |    |    |                                                 |                                                                              |             |          |           |    |
|                                             |                                                         |         |       |   |   | التقليدية/ال .19 من المهم لها أن يثق بها األشخا | ُمحاِفظة.                                                                      |             |          |           |    |
| ص الذين تعرفهم ب                             |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
| صورة كاملة.                                  |                                                          |          |        |    |    |                                                 |                                                                              |             |          |           |    |
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47  
| تشبهني                                   | تشبهني الى                                                              | تشبهني   | ال ت   |    |    |                                                                                         |    |             |
|------------------------------------------|-------------------------------------------------------------------------|----------|--------|----|----|-----------------------------------------------------------------------------------------|----|-------------|
| شبهني                                    |                                                                         |          |        |    |    |                                                                                         |    |             |
| كثيرا                                    | حد ما                                                                   |          |        |    |    |                                                                                         |    |             |
| تشبهني                                   | قليال                                                                   |          |        |    |    |                                                                                         |    |             |
|                                          | أبدا                                                                    |          |        |    |    |                                                                                         |    |             |
|                                          |                                                                         |          |        |    |    |                                                                                         |    |             |
| ال ت                                     |                                                                         |          |        |    |    |                                                                                         |    |             |
| شبهني                                    |                                                                         |          |        |    |    |                                                                                         |    |             |
|                                          |                                                                         |          |        |    |    |                                                                                         |    |             |
|                                         |                                                                        |         |       |   |   | .20 من المهم لها أن تكون غنيّةً .21 من المهم لها المشاركة بالفعاليا                       | .  |             |
| ت التي تهد                               |                                                                         |          |        |    |    |                                                                                         |    |             |
| ف لحماية الطبيعة.                        |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                        |                                                                        |         |       |   |   | .22 من المهم لها ا .23 من المهم لها تطوير آرائها الشخ                                   | .  | زعجأحداُت الّ |
| صية.                                     |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .24 من المهم لها الدفاععن سمعتهاأمام النا                               |          |        |    |    |                                                                                         |    |             |
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|                                         | لها أن تساعد االشخا                                                     |          |        |    |    |                                                                                         |    |             |
| ص األعزاء بالنسبة لها.                   |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .25 من المهم جدّاً .26 من المهم لهاأن تعي                                 |          |        |    |    |                                                                                         |    |             |
| ش بأمن وأمان.                            |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .27 من المهم لها أن تكون                                                |          |        |    |    |                                                                                         |    |             |
| صديقةً وفيةً ويمكن االعتمادعليها.          |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .28 من المهم لها القيام بالمخاطراتالتي تجعل الحياة مشّوقة.               |          |        |    |    |                                                                                         |    |             |
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|                                         | .29 من المهم لها امتالك القوة التي تمّكنها من إمالء إرادتها على اآلخرين. |          |        |    |    |                                                                                         |    |             |
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|                                         | .30 من المهم لها التخطيط لنشاطاتها باستقاللية.                          |          |        |    |    |                                                                                         |    |             |
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|                                         | .31 من المهم لها االن                                                   |          |        |    |    |                                                                                         |    |             |
| صياع للقوانين حتى إن لم يكن أحد يراقبها. |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                        |                                                                        |         |       |   |   | .32 من المهم لهاانتكونناجحةً جداً .33 من المهم لها أن تتبع عادات عائلتها أو تقاليد دينها. | .  |             |
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|                                         | .34 من المهم لها االستماع إلى االشخا                                    |          |        |    |    |                                                                                         |    |             |
| ص المختلفين عنها وفهمهم.                 |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .35 من المهم لهاأن تكون الدولة قوية وقادرة على الدفاع عن مواطنيها.      |          |        |    |    |                                                                                         |    |             |
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|                                         | .36 من المهم لها التمتّع بملذا                                           |          |        |    |    |                                                                                         |    |             |
| ت الحياة.                                |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .37 من المهم لها أن تتوفر فر                                            |          |        |    |    |                                                                                         |    |             |
| ص متساويةلكل شخ                          |                                                                         |          |        |    |    |                                                                                         |    |             |
| ص في العالم.                             |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .38 من المهم لها أن تكون متوا                                           |          |        |    |    |                                                                                         |    |             |
| ضعةً وزاهدة.ً                              |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .39 من المهم لها أن تُدركاالشياء بنفسها.                                 |          |        |    |    |                                                                                         |    |             |
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|                                         | .40 من المهم لها احترام العادا                                          |          |        |    |    |                                                                                         |    |             |
| ت والتقاليد الخا                         |                                                                         |          |        |    |    |                                                                                         |    |             |
| صة بمجتمعها.                             |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .41 من المهم لها أن تكون هي الشخ                                        |          |        |    |    |                                                                                         |    |             |
| ص الذييُخبر اآلخرين بما عليه فعله.        |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .42 من المهم لهاأن تطيع كافة القوانين.                                  |          |        |    |    |                                                                                         |    |             |
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|                                         | .43 من المهم لهاأن تعي                                                  |          |        |    |    |                                                                                         |    |             |
| ش تجار                                   |                                                                         |          |        |    |    |                                                                                         |    |             |
| ب جديدة بكافة اشكالها.                   |                                                                         |          |        |    |    |                                                                                         |    |             |
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|                                         | .44 من المهم لهاأن تمتلك أشياء ثمينة تُظهر مد                            |          |        |    |    |                                                                                         |    |             |
| ى ثرائها.                                |                                                                         |          |        |    |    |                                                                                         |    |             |
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| تشبهني                                               | تشبهني الى                                                       | تشبهني   | ال ت   |    |    |                                                                                                                 |                            |
|------------------------------------------------------|------------------------------------------------------------------|----------|--------|----|----|-----------------------------------------------------------------------------------------------------------------|----------------------------|
| شبهني                                                |                                                                  |          |        |    |    |                                                                                                                 |                            |
| كثيرا                                                | حد ما                                                            |          |        |    |    |                                                                                                                 |                            |
| تشبهني                                               | قليال                                                            |          |        |    |    |                                                                                                                 |                            |
|                                                      | أبدا                                                             |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
| ال ت                                                 |                                                                  |          |        |    |    |                                                                                                                 |                            |
| شبهني                                                |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      | .45 من المهم لهاأن تتم حماية البيئة الطبيعية من التدمير أو التلو |          |        |    |    |                                                                                                                 |                            |
| ث.                                                   |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                     | .46 من المهم لهاأن تستغل كل فر                                   |          |        |    |    |                                                                                                                 |                            |
| صة لتُم                                               |                                                                  |          |        |    |    |                                                                                                                 |                            |
| ضي وقتاً في االستمتاع.                                |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                     | .47 من المهم لهاأن تعتني بكافة احتياجا                           |          |        |    |    |                                                                                                                 |                            |
| ت األشخا                                             |                                                                  |          |        |    |    |                                                                                                                 |                            |
| ص األعزاء على قلبها.                                 |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                     | .48 من المهم لهاأن يُالحظاآلخرون إنجازاتها.                       |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                    |                                                                 |         |       |   |   | .                                                                                                               | .49 من المهم لهاأن ال تتعر |
| .50 من المهم لهاأن تحمي دولتهانفسها من كافة التهديدا | ض لإلهانة أبداً                                                   |          |        |    |    |                                                                                                                 |                            |
| ت.                                                   |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                     |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                    |                                                                 |         |       |   |   | .51 من المهم لها أن ال تُغ ِضباآلخرين أبداً .52 من المهم لهاأن يحظى كل إنسان– حتى الذين ال تعرفهم– بمعاملة  .عادلة | .                          |
|                                                     |                                                                 |         |       |   |   | .53 من المهم لهاأن تتجنّبأ                                                                                       |                            |
| ي شيء قد يعر                                         |                                                                  |          |        |    |    |                                                                                                                 |                            |
| ضها للخطر.                                           |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                     | .54 من المهم لهاأن تكون قنوعةبما تملك وأن ال تطل                 |          |        |    |    |                                                                                                                 |                            |
| ب المزيد.                                            |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                     |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                      |                                                                  |          |        |    |    |                                                                                                                 |                            |
|                                                     | .55 من المهم لهاأن يَقِدر جميع ا                                   |          |        |    |    |                                                                                                                 |                            |
| صدقائها وأفراد أسرتهاعلى االعتماد عليها              | .تام                                                             | بشكل     |        |    |    |                                                                                                                 |                            |
|                                                     |                                                                 |         |       |   |   | .56 من المهم لها أن تكون ُح ّرةً في اختيار ما ترغ                                                                  |                            |
| ب في فعله.                                           |                                                                  |          |        |    |    |                                                                                                                 |                            |
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|                                                     | .57 من المهم لها أن تتقبّل اآلخرين حتى وإن خالفتهم في الرأ        |          |        |    |    |                                                                                                                 |                            |
| ي.                                                   |                                                                  |          |        |    |    |                                                                                                                 |                            |
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heb cesd-r-10 dykhavn shalvn t0
demographics arabic t0

למטה רשומים מספר דרכים שאולי הרגשת או התנהגת. אנא ספרי לנו באיזו תדירות הרגשת כך בשבוע האחרון.  
| 3                                             |             |
|-----------------------------------------------|-------------|
| = חלק ניכר או  רוב הזמן )7-5 ימים(            | 2           |
| = לעיתים או                                   | 1           |
| = חלק מהזמן                                   |             |
| בצורה בינונית                                 | )           |
| 2-1 ימים(                                     |             |
| )                                             |             |
| 4-3 ימים(                                     | 0           |
| = לעיתים  רחוקות או  בכלל לא )פחות  מיום אחד( | .1          |
| הפריעו לי דברים                               |             |
| שבדרך כלל לא מפריעים לי                       |             |
| 0                                             |             |
| 1                                             |             |
| 2                                             |             |
| 3                                             | .2 היה לי ק |
| שה להתרכז במה                                 |             |
| שאני עו                                       |             |
| שה                                            |             |
| 0                                             |             |
| 1                                             |             |
| 2                                             |             |
| 3                                             | .3 הרג      |
| שתי מדוכאת                                    |             |
| 0                                             |             |
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| 3                                             | .4 הרג      |
| שתי                                           |             |
| שכל מה                                        |             |
| שאני עו                                       |             |
| שה הוא מאמץ                                   |             |
| 0                                             |             |
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| 2                                             |             |
| 3                                             | .5 הרג      |
| שתי תקווה לגבי העתיד                          |             |
| 0                                             |             |
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| 3                                             | .6 הרג      |
| שתי פחד                                       |             |
| 0                                             |             |
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| 3                                             | .7 ה        |
| שינה                                          |             |
| שלי היתה טרופה                                |             |
| 0                                             |             |
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| 3                                             | .8 הרג      |
| שתי                                           |             |
| שמחה                                          |             |
| 0                                             |             |
| 1                                             |             |
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| 3                                             | .9 הרג      |
| שתי בודדה                                     |             |
| 0                                             |             |
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| 2                                             |             |
| 3                                             | .10 הרג     |
| שתי                                           |             |
| שאני לא מצליחה "להתניע"                       |             |
| 0                                             |             |
| 1                                             |             |
| 2                                             |             |
| 3                                             |             |  
| مع            |         |              |    |      |
|---------------|---------|--------------|----|------|
| ظم أو ك       |         |              |    |      |
| ل             |         |              |    |      |
|               | الوق    |              |    |      |
| ت             | أو قدر  | أ            |    |      |
| حياناً معتدل م |         |              |    |      |
| ن             | الوق    |              |    |      |
| ت             | )       |              |    |      |
| 4-3 أيام(     | بع      |              |    |      |
| ض الوق        |         |              |    |      |
| ت أو          | قلي     |              |    |      |
| الً            | أو أبداً | نادراً )أقل م |    |      |
| ن يوم         | وا      |              |    |      |
| حد(           | خ       |              |    |      |
| الل ا         |         |              |    |      |
| أل            |         |              |    |      |
| سبو           |         |              |    |      |
| ع الما        |         |              |    |      |
| ض             |         |              |    |      |
| ى:            |         |              |    |      |
| )يوم إل       |         |              |    |      |
| ى             | يومي    |              |    |      |
| ن(            |         |              |    |      |
| )             |         |              |    |      |
| 7-5 أيام( 3   | 2       | 1            | 0  | -1كن |
| ت أ           |         |              |    |      |
| شعر بال       |         |              |    |      |
| ضي            |         |              |    |      |
| ق م           |         |              |    |      |
| ن أمور        |         |              |    |      |
| عادةً          |         |              |    |      |
| ال            | ت       |              |    |      |
| ضايقن         |         |              |    |      |
| ى             | -2      |              |    |      |
|               |         |              |    |      |
| شعر           |         |              |    |      |
| ت ب           |         |              |    |      |
| صعوبة ف       |         |              |    |      |
| ى التركيز     |         |              |    |      |
| عل            |         |              |    |      |
| ى ما أفعله    |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -3      |              |    |      |
|               |         |              |    |      |
| شعر           |         |              |    |      |
| ت با          |         |              |    |      |
| الكتئا        |         |              |    |      |
| ب             |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -4      |              |    |      |
|               |         |              |    |      |
| شعر           |         |              |    |      |
| ت أ           |         |              |    |      |
| ن ك           |         |              |    |      |
| ل ما فعلته م  |         |              |    |      |
| جهداً          |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -5      |              |    |      |
|               |         |              |    |      |
| شعر           |         |              |    |      |
| ت با          |         |              |    |      |
| ألمل ف        |         |              |    |      |
| ى الم         |         |              |    |      |
| ستقب          |         |              |    |      |
| ل             |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -6      |              |    |      |
|               |         |              |    |      |
| شعر           |         |              |    |      |
| ت بال         |         |              |    |      |
| خو            |         |              |    |      |
| ف             |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -7      |              |    |      |
| كا            |         |              |    |      |
| ن نوم         |         |              |    |      |
| ى مؤر         |         |              |    |      |
| ق             |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -8      |              |    |      |
| كن            |         |              |    |      |
| ت             |         |              |    |      |
| سعيداً         |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -9      |              |    |      |
|               |         |              |    |      |
| شعر           |         |              |    |      |
| ت بالو        |         |              |    |      |
| حدة           |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             | -10     |              |    |      |
| ال ا          |         |              |    |      |
| ست            |         |              |    |      |
| طع أ          |         |              |    |      |
| ن "أوا        |         |              |    |      |
| صل"           |         |              |    |      |
| 0             |         |              |    |      |
| 1             |         |              |    |      |
| 2             |         |              |    |      |
| 3             |         |              |    |      |
heb cesd-r-10 dykhavn shalvn t0
fsi heb t0 t1 t2

בכל אחד מהמשפטים הבאים, הקיפי בעיגול את הספרה המתארת באופן המדויק ביותר את הרגשתך.  
* [10] M. C.
.1 מידת העיפות שלך ביום בו הרגשת הכי עייפה במהלך השבוע החולף.  
\begin{tabular}{c|c c c c c c c c} \hline  & & & & & & & & & \\ \hline  & & & & & & & & & \\ 10 & 9 & 8 & 7 & 6 & 5 & 4 & 3 & 2 & 1 & 0 \\ 20 & & & & & & & & & \\ 30 & & & & & & & & & \\ 40 & & & & & & & & & \\ 50 & & & & & & & & & \\ \hline \end{tabular}
.2 מידת העיפות שלך ביום בו הרגשת הכי פחות עייפה במהלך השבוע.  10 9 8 7 6 5 4 3 2 1 0 לא עייפה הכי עייפה כלל שאפשר
* [10] M. C.
.3 מידת העיפות בממוצע לאורך השבוע האחרון.    10 9 8 7 6 5 4 3 2 1 0 לא עייפה הכי עייפה כלל שאפשר .4 מידת העיפות שלך כרגע.    10 9 8 7 6 5 4 3 2 1 0 לא עייפה הכי עייפה שאפשר
כלל
.5 המידה בה העיפות הפריעה לפעילות הכללית שלך בשבוע האחרון.  
10 9 8 7 6 5 4 3 2 1 0 לא הפריע כלל הפרעה חזקה ביותר.  
.6 המידה בה העיפות הפריעה ליכולתך להתקלח ולהתלבש בשבוע האחרון.  
10 9 8 7 6 5 4 3 2 1 0 לא הפריע כלל הפרעה חזקה ביותר.  
.7 עד כמה, במהלך השבוע האחרון העיפות הפריעה לפעילות העבודה הרגילה שלך )כולל עבודות מחוץ לבית וגם עבודות בית(.  
10 9 8 7 6 5 4 3 2 1 0 לא הפריע כלל הפרעה חזקה ביותר.  
.8 עד כמה, במהלך השבוע האחרון העיפות הפריעה ליכולת שלך להיות מרוכזת.  
10 9 8 7 6 5 4 3 2 1 0 לא הפריע כלל הפרעה חזקה ביותר.  
.9 דרגי עד כמה, במהלך השבוע האחרון העיפות השפיעה על יחסיך עם אנשים אחרים.  
$\blacksquare$
$$\mathbf{i}\qquad\qquad\mathbf{j}$$
$\mathbf{v}=\mathbf{v}_{\text{max}}\mathbf{v}_{\text{max}}$
$$7\quad6\quad5\quad4\quad3\quad2\quad1\quad0$$
$$\mathbf{\delta}$$
$$10\qquad\quad9$$
$$\qquad\qquad53\ {\mathrm{of}}\ 79$$  
$$\mathrm{{Vers}}$$
53  
.10 עד כמה, במהלך השבוע האחרון העיפות הפריעה להנאה מחייך.  
10 9 8 7 6 5 4 3 2 1 0
לא הפריע כלל הפרעה חזקה ביותר.
$$.\mathbf{\Sigma}^{10}\mathbf{\Sigma}\mathbf{\Sigma}$$  
.11 עד כמה, במהלך השבוע האחרון העיפות הפריעה לרמת הפעילות הכללית שלך.  
10 9 8 7 6 5 4 3 2 1 0 לא הפריע כלל הפרעה חזקה ביותר.  
.12 כמה ימים, במהלך השבוע האחרון חשת עייפות בחלק כלשהו של היום.  
7 6 5 4 3 2 1 0 ימים ימים  
.13 צייני **איזה חלק מהיום** בממוצע, חשת עייפות במהלך השבוע האחרון.  
10 9 8 7 6 5 4 3 2 1 0 כלל כל היום כולו.  לא
بكل جملة من الجمل االتية, أحيطي بدائرة حول الرقم الذي يصف شعورك بدقة.  
.1 مستوى التعب الذي شعر ِت به في اليوم االكثر ُمتعب خالل االسبوع الماضي)االخير(.  
10 9 8 7 6 5 4 3 2 1 0   غير تعبة بالمرة متعبة جدا  
$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\mu$A$\mu$B$\(\
$\begin{array}{c}\includegraphics[height=56.905512pt]{Fig1}\end{array}$
.5 درجة تأثير التعب بشكل سلبي على نشاطك اليومي في االسبوع االخير   10 9 8 7 6 5 4 3 2 1 0   لم يؤثر بالمرة تأثير قوي جدا   55
.6 درجة تأثير التعب بشكل سلبي على قدرتك باالستحمام او اللبس باألسبوع االخير  
$$10\underbrace{9}_{\mathrm{j}\ll\phi,\mathrm{j}}8\underbrace{7}_{\mathrm{j}\ll\mathrm{j}}6\underbrace{5}_{\mathrm{j}\ll\mathrm{j}}4\underbrace{3}_{\mathrm{j}}2\underbrace{1}_{\mathrm{j}\ll\mathrm{j}}0$$
$$\begin{array}{l}{{\hat{u}_{\underline{{{s}}},\underline{{{y}}}}\left(\zeta^{\underline{{{y}}}}\right)\zeta^{\underline{{{s}}}|}\zeta^{\underline{{{s}}}}}}\\ {{\hat{u}_{\underline{{{s}}},\underline{{{u}}},\underline{{{u}}}}|\zeta_{\underline{{{s}}},\underline{{{u}}},\underline{{{u}}}}|}}\end{array}.7$$  
.7 حتى اي )ألي( درجة أثر التعب بشكل سلبي على نشاط عملك ال ُمعتاد خالل االسبوع االخير)يشمل العمل خارج البيت وداخل البيت ايضا (.  
$$\operatorname*{lim}_{i\to\infty}\frac{10}{9}\quad9\quad8\quad7\quad6\quad5\quad4\quad3\quad2\quad1\quad0$$
$$\begin{array}{l}{{\mathrm{~i~}}}\\ {{\mathrm{~j~}}}\end{array}$$  
.8 حتى اي )ألي( درجة أثر التعب بشكل سلبي على قدرتك في التركيز خالل االسبوع االخير  
$$9\quad8\quad7\quad6\quad5\quad4\quad3\quad2$$
$$1\qquad0$$
$${\hat{v}}\cup_{\lambda}\cup{\hat{v}}\cup_{\lambda}\cup{\hat{v}}\cup{\hat{v}}$$
تأثير قوي جدا لم يؤثر بالمرة
$$\begin{array}{l l l}{{\hat{a}\to\hat{\varphi}\,\hat{\varphi}^{1}\,\hat{\varphi}^{1},\,\hat{\varphi}^{2}\to}}&{{.9}}\\ {{}}&{{}}&{{}}\\ {{}}&{{}}&{{|}}\end{array}$$
$$\underline{{\hspace{1cm}}}$$  
.9 حددي ,حتى اي درجة أثر التعب على عالقاتك مع االخرين خالل االسبوع االخير  
$$\operatorname*{lim}_{1\to\infty}9\quad8\quad7\quad6\quad5\quad4\quad3\quad2$$
$$2$$
$$\begin{array}{r l}{1}&{{}0}\\ {\hat{\varsigma}_{\jmath^{\mathrm{all}}}\ \hat{\jmath}^{\mathrm{s}}\hat{\jmath}^{\mathrm{s}}\hat{\jmath}^{\mathrm{l}}}\end{array}$$
$$\begin{array}{c}{{\Delta^{n}\supset^{n},\Delta\supset\phi^{n},\phi^{n}\supset^{n},\Gamma\cup}}\\ {{\Delta^{n}\supset^{n},\Delta\supset\phi^{n},\phi^{n}\supset^{n},\Gamma\cup}}\end{array}$$  
$$\mathbf{\Sigma}^{0}$$  
.10حتى اي درجة, أثر التعب بشكل سلبي على متعتك بالحياة في االسبوع االخير  
$$9\quad8\quad7\quad6\quad5\quad4\quad3\quad2\quad1$$
$$10$$  
56  
$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\mu^{2}$$\xi$,$\(\
$$\begin{array}{c c c}{{}}&{{\mathrm{\phi^{i}\,\Sigma^{j l}\,\xi_{j}\,\xi^{i}\,\xi^{j}\,\xi^{i}\,\xi^{l}\,\xi^{l}\,\xi^{l}}}}\\ {{}}&{{}}&{{}}\\ {{}}&{{}}&{{\mathrm{\phi^{i}\,\Sigma^{j l}\,\xi^{i}\,\xi^{j}\,\xi^{i}}}}\end{array}$$  
e.all $\psi$ is a $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-invariant $\psi$-
$$|\phi^{\prime}\rangle^{\dagger}\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle|\phi^{\prime}\rangle$$
$$\begin{array}{l l l l l l l l l l l l l}{{10}}&{{9}}&{{8}}&{{7}}&{{6}}&{{5}}&{{4}}&{{3}}&{{2}}&{{1}}&{{0}}\\ {{\tt4L S_{e,p,33}|}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}\\ {{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}&{{}}\end{array}$$