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S126 : QUESTIONNAIRE S126 : FINAL FIELD FORM

S126: NP Study

To further development of psychoneurotic screening instrument.

Questionnaire

Date

May '44

Original Size

454

Location

ETO

Alternate Title

Psychoneurotic Study

Sample Description

451 questionnaires completed by a group of 279 hospitalized psychoneurotic patients in England and by a group of 175 "normals" from the 9th Inf Div. Further details of selection and location stated in TAB A

Sample Method

a. Men from the 96th Station Hospital are severe NP and a few CPS cases that are not deemed curable in the ETO and are to be shipped back to the United States. None of these men have seen combat (codes 1 and 2 in column 3)

b. Men from the 312th General Hospital are less severe NP cases deemed curable in the ETO.

  1. Codes 3 and column 3, have seen combat
  2. Codes and 6, column 3, have not seen combat
  3. Those coded 5 are in the early stages of treatment
  4. Those coded 6 in the later (or final) stages of treatment at the General Hospital
  5. The normal are men who have seen combat can be identified by the double punch in columns 1, and the fact that 2, 7 are not punched in columns 1 and 2. Use columns 1 to 6 for collating the two sets of cards.

Location Details

England

Origin

Hqs, ETO

Cleared

Chief Surgeon, ETOUSA

Reports

Preliminary Results from a Survey of Psychoneurotic and Normal Soldiers (10 May 1944)

B-116 A Further Study of Psychoneurotics in the Army (Supplemental to Report B-107)

Notes

Distribution of Reports: Limited within Theater Headquarters (chiefly medical)

Nara Catalog

https://catalog.archives.gov/id/7062665

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110 Questions

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OF 6

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1
How old were you on your last birthday?
2
How far did you go in school?
3
Are you single, married, divorced or separated, or widowed? F. If married: Q.4. Were you married before or after entering the Army?
5
Where did you live most of the time before you were 16 years old?
6
Before you came into the Army, how many different states of the United States had you been in to live or work?
7
How long have you been in the Army? E. If you have served previously in the Army, check the length of time since you entered this last time. If you were a national guardsman, give the length of time since your outfit entered the Army.
8
Have you been in actual combat in this war
9
What branch of the Army are you in?
10
If you had a choice, which one of these branches of the Army would you like to be in?
11
How many brothers and sisters older than you do you have?
12
How many brothers and sisters younger than you do you have?
13
How many jobs did you have in the last two years before you came into the Army?
14
Before you came into the Army had you ever been fired or asked to resign from a job?
15
Before you came into the Army about how often did you go to church?
16
In general, what sort of a time do you have in the Army?
17
Do you think you can make good in the Army?
18
In general, how would you say you feel most of the time, in good spirits or in low spirits?
19
Are you ever worried and upset?
20
Do you often say things that you later wish you hadn't said?
21
Do you worry much about things that might happen to you?

110 Questions

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OF 6

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