Form 0920- Brief Cope

Attachment D5

Brief Cope

Form Approved

OMB No. 0920-xxxx

Exp. Date xx/xx/20xx

Brief Cope

III. Please read each item below and indicate by marking an “X” in the appropriate box, to what extent you used it to cope with stressful situations.

1 = I have not done this at all

2 = I have done this a little bit

3 = I have done this a medium amount

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4 = I have done this a lot

		Not At All (1)	A Little Bit (2)	A Medium Amount (3)	A Lot (4)
1	Turned to work or other activities to take my mind off things.	□	□	□	□
2	Concentrated my efforts on doing something about the situation.	□	□	□	□
3	Said to myself "this isn't real.".	□	□	□	□
4	Used alcohol or other drugs to make myself feel better.	□	□	□	□
5	Received emotional support from others.	□	□	□	□
6	Gave up trying to deal with it.	□	□	□	□
7	Took action to try to make the situation better.	□	□	□	□
8	Refused to believe that it had happened.	□	□	□	□
9	Said things to let my unpleasant feelings escape.	□	□	□	□
10	Received help and advice from other people.	□	□	□	□
11	Used alcohol or other drugs to help me get through it.	□	□	□	□
12	Tried to see it in a different light, to make it seem more positive.	□	□	□	□
13	Criticized myself.	□	□	□	□
14	Tried to come up with a strategy about what to do.	□	□	□	□
15	Received comfort and understanding from someone.	□	□	□	□
16	Gave up the attempt to cope.	□	□	□	□
17	Looked for something good in what was happening.	□	□	□	□
18	Made jokes about it.	□	□	□	□
19	Did something to think about it less, such as going to movies, watching TV, reading, daydreaming, sleeping, or shopping.	□	□	□	□
20	Accepted the reality of the fact that it had happened.	□	□	□	□
21	Expressed my negative feelings.	□	□	□	□
22	Tried to find comfort in my religion or spiritual beliefs.	□	□	□	□
23	Tried to get advice or help from other people about what to do.	□	□	□	□
24	Learned to live with it.	□	□	□	□
25	Thought hard about what steps to take.	□	□	□	□
26	Blamed myself for things that happened.	□	□	□	□
27	Prayed or meditated.	□	□	□	□
28	Made fun of the situation.	□	□	□	□