Somatic Symptoms Experience Questionnaire (SSEQ)

This questionnaire focuses on thoughts and feelings you might have with regard to physical complaints and the way you usually cope with such complaints. Please read all questions in detail. There is a line in each sentence: _____. Please indicate which word fits best for you in the position of the line in each sentence.
Example:		Never	Very rarely	Rarely	Often	Very often	Always
	I _____ have cold feet.			☒
If you rarely have cold feet, check the box here:				↑

	How often do these things happen to you?	Never	Very rarely	Rarely	Often	Very often	Always
1.	I _____ feel ill.
2.	When I have physical complaints, I _____ worry whether they will ever end.
3.	When I go to see a doctor, I _____ feel as though my concerns are not really understood.
4.	While I have physical complaints, I _____ have to think about them.
5.	I _____ feel physically weak and sensitive.
6.	I have _____ felt as though doctors think my health-related problems are exaggerated.
7.	When I notice physical complaints, I _____ think that they are signs of a serious disease.
8.	I _____ doubt that the diagnoses that doctors have given me are correct.
9.	I _____ worry that something is not right with my health.
10.	When I feel ill and doctors do not find anything, I _____ believe that something is nevertheless seriously wrong with my health.

11.	During the last six months, I have _____ experienced physical complaints. For example: Headaches, back pain, stomach pain, digestive pain, dizziness, heart or blood-pressure problems.
11.	If you marked 'never' for question number 11, this is the end of the questionnaire for you. Thank you for responding to all the questions.	↑	Please continue to question number 12

The following questions deal with other thoughts and feelings you might have with regard to your physical complaints and the way you've been coping with such complaints. You will again find a line ( _____ ) in each sentence. Please indicate which word seems to fit best in the position of the line. Please refer to your experiences over the last six months when answering these questions.
	How often has this happened to you?	Never	Very rarely	Rarely	Often	Very often	Always
12.	Because of my physical complaints, I have _____ tried to spare certain body parts or go easy on them to avoid strain.
13.	I have _____ felt desperate because of my physical complaints.
14.	I have _____ been worried because I was impaired due to my physical complaints.

15.	Please indicate here how often you have visited a doctor during the last six months:	_____ times
Thank you for completing the questionnaire!

Reproduced from: Herzog A, Voigt K, Meyer B, et al. Psychological and interactional characteristics of patients with somatoform disorders: Validation of the Somatic Symptoms Experiences Questionnaire (SSEQ) in a clinical psychosomatic population. J Psychosom Res 2015; 78:553. Table used with the permission of Elsevier Inc. All rights reserved.

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Somatic Symptoms Experience Questionnaire (SSEQ)