Possible Futures Survey Form ( © H. Lips, 2000)      continued from  page .. 1b 
..2b  

Through the course of their individual lives, people have the tendency to project their possible futures in their minds.  We are interested in knowing what kinds of negative futures you fear most.  Below are some possible future outcomes that all people may face. Please rate each scenario on a scale of 1 to 6, with 1 being not at all fearful to you, and 6 being very fearful to you.  Please assign a number rating to each of the 25 scenarios below.
       1                      2                      3                      4                      5                      6
not at all                                                                                                        very fearful

ratings

 

      I am fearful of ...  1 2 3 4 5 6

Item

  1.
not achieving my future goals.
______ (1
2.
being denied a good job.
______ (2
  3.
disliking my occupational choice as I grow older.
______ (3
4.
performing worse than many others in doing tasks that I enjoy.
______ (4
5.
being alone for the rest of my life.
______ (5
6.
not having friends around me when I need them most.
______ (6
7.
being unable to have children.
______ (7
8.
having children that will disappoint me.
______ (8
9.
being dissatisfied with my romantic relationships.
______ (9
10.
being unhappy with my appearance.
______ (10
11.
being unhappy with how I feel physically.
______ (11
12.
being unhappy with how I feel emotionally.
______ (12
13.
feeling that control over my life has slipped away from me.
______ (13
14.
being a failure in many things I do.
______ (14
15.
being unhappy knowing that I left many things undone, unsaid when I die.
______ (15
16.
being a disappointment to my friends/family.
______ (16
17.
being disappointed in myself for my accomplishments.
______ (17
18.
constantly suffering hardships where money is concerned.
______ (18
19.
the world being a worse place to live over the course of time.
______ (19
20.
making a negative impact or none at all on the world I live in.
______ (20
21.
being surrounded by people who criticize me.
______ (21
22.
feeling incompetent in my work.
______ (22
23.
feeling stressed and overburdened all the time.
______ (23
24.
feeling overwhelmed by the responsibilities of my life.
______ (24
25.
not having time to do the things I enjoy in life.
______ (25

               
If you think that there are any negative possible outcomes your life could have, and they have not been mentioned in the above list, please list those below, and assign to them a rank number from 1 to 6, with I being the least fearful and 6 being the most fearful.

         
         
         
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Last Updated: May 17th , 2001