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About
Patient Resource
Clinical Assessment 60.5
Open Form
Form 60.5
Patient Number
*
Provided to you in your Luminello Patient Portal in order to keep your name anonymous as this website lacks proper encryption for HIPAA compliance.
Personality Characteristics
*
Rate each item by how closely it describes your general demeanor or personality, especially since adulthood:
Excessive fixation with list, rules, details or general organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Perfectionist, even to the point of difficulty finishing a task because my standards tend to be so strict.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Excessively devoted to work, even to the detriment of leisure and relationships.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Overconscientious or rigid when it comes to morals, ethics, or values.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unable to get rid of worthless items, even when their not sentimental.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Reluctant to delegate tasks unless others perform the tasks exactly as asked.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Frugal and maybe less than generous, needing to prepare for potentially more important things or catastrophes.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Generally run short on time, especially leaving most important tasks until the last minute.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Hobbies and activities are great, if done well and according to the rules.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Irritated by others needing to be creative about simple tasks that need to get done, like washing dishing for example.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Stubborn, even when it's in my interest to compromise, it's "the principle that matters".
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Control = calm. Lack of control = panic
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Please elaborate if you like:
Thank you! We’ll talk more about this at your next appointment.