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Table 5 MSSS scale instructions, recall period, items, and response options

From: Psychometric properties of a new self-report measure of medical student stress using classic and modern test theory approaches

Instructions & recall period: The questions in this scale ask about your well-being since starting medical school. In each case, please indicate your response.
Response options: 0 = Never, 1 = Rarely, 2 = Sometimes, 3 = Often, 4 = Always
1.  Since starting medical school, I notice fluctuations in my appetite.
2. Since starting medical school, I have difficulty asking for help.
3. Since starting medical school, I receive less satisfaction from learning new material.
4. Since starting medical school, I am unable to relax.
5. Since starting medical school, I feel anxious.
6. Since starting medical school, I am unable to enjoy activities outside of classes/rotations.
7. Since starting medical school, I feel hopeless that I’ll ever get my degree.
8. Since starting medical school, I feel depressed.
9. Since starting medical school, I have a hard time motivating myself to study
10. Since starting medical school, I feel emotionally exhausted.
11. Since starting medical school, I am fearful of failing.
12. Since starting medical school, I feel unsupported by my peers.
13. Since starting medical school, I feel competition from my peers.
14. Since starting medical school, I feel unsupported by faculty.
15. Since starting medical school, I feel taken advantage of by faculty (i.e. research mentors, professors, and/or school administrators).
16. Since starting medical school, I feel pressure from others (i.e. parents, professors, mentors, etc.) to get good grades.
17. Since starting medical school, I am overly self-critical.
18. Since starting medical school, I feel unsure of my abilities as a student.
19. Since starting medical school, I hardly have enough time to get things done.
20. Since starting medical school, I feel overwhelmed by everything there is to do.
21. Since starting medical school, I struggle maintaining a healthy school-life balance.
22. Since starting medical school, I think about dropping out of school.