Instructions: This form is designed to measure how in-tune you are with your emotions. It is not a test so there are no right or wrong answers. Please answer ALL items as carefully and as accurately as you can. All responses remain strictly confidential.

1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, 5 = Very Often

1

Most times I cannot tell what sensations I feel in my body

1

2

3

4

5

2

I sometimes find it difficult to express my excitements

1

2

3

4

5

3

I usually prefer to keep conversations short and sharp

1

2

3

4

5

4

I find it challenging to connect with what others feel

1

2

3

4

5

5

I struggle when I have to give details about how I feel to others

1

2

3

4

5

6

I will rather not show affection to others

1

2

3

4

5

7

I will rather use actions to express my emotions than verbalise them

1

2

3

4

5

8

I usually cannot identity when or why I am upset

1

2

3

4

5

9

I find it difficult to describe how I feel to others

1

2

3

4

5

10

I cannot seem to connect my sensations to my emotions

1

2

3

4

5

11

Most times I am not sure what I feel on a matter

1

2

3

4

5

12

I prefer to face my work/duty and avoid conversations

1

2

3

4

5