<p> CLARITY IMAGERY SURVEY SCHEDULE (ISS)</p><p>Imagery is used all the time. However the type of imagery is not always visual, and is often so fleeting as to be below the level of awareness. Try these exercises to find your imagery profile. It will help customize the kinds of images needed to help strengthen positive thoughts, resist temptations and avoid relapse.</p><p>The Imagery Survey Schedule (ISS) is an assessment of an individual’s ability to imagine. </p><p>Part l is a sample of Part II and is used for practice. </p><p>Part II contains a total of 51 items in various sections assessing your overall imagery ability. </p><p> general imagery ability for each of the six senses  physical imagery ability  psychological imagery ability  specific imagery ability within each of the six senses  physical and psychological imagery. o Physical or somatic imagery is defined as physical feelings or sensations suggested by words like "hungry" or "relaxed." o Psychological imagery is defined as a mental feeling elicited by words like "smart" or “relaxed." </p><p>More general categories and specific words are both rated for pleasantness, vividness and ease or rapidity of obtaining the image.</p><p> The ease and vividness rating is a three-part scale of high, medium and low.  The pleasantness rating and unpleasantness rating is a 9-point continuum from very unpleasant very pleasant. </p><p>1 IMAGERY SURVEY SCHEDULE I</p><p>Name ______Date______</p><p>Occupation ______</p><p>Age ______Sex ______Marital Status______</p><p>Practice Sheet with Examples and General Instructions.</p><p>This is a practice sheet. Use it as an example to practice you imagery skills. For each word, read the word then close your eyes and try to imagine that you are actually perceiving, or sensing, something (anything) that the word may suggest to you. If you are able to obtain an image, or sensation, concentrate on it for a few seconds (if possible) then rate it. If the word does not produce an image within approximately 10 to 20 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word.</p><p>Example No. 1. Onion: No image was produced</p><p>Example No. 2. Grass: An image was obtained and it was High in ease of production, medium in Vividness and of Much Pleasantness.</p><p>Practice Word No. 1. Car: Try to imagine that you are actually looking at a car. Remember to concentrate on the visual sensation for a few seconds before rating it.</p><p>Practice Word No. 2. Howl: Try to imagine that you are actually listening to a howling sound; concentrate on it, then rate it.</p><p>OK? Now you try it:</p><p>2 Any Wo image? Ease Vividness Unpleasantness Pleasantness YES NO L M H L M H Very Much Some Not None Not Some Much Very rds much Much Much Much On ion </p><p>Grass</p><p>Car</p><p>Howl</p><p>PART II</p><p>Self Rating Scale: General Imagery Ability</p><p>Let us begin. This part is quit vague. Please rate below, first of all, your general ability to produce imagery by checking under the appropriate columns to the right of the first word, General. </p><p>Next rate your general ability to obtain specific imagery with each of the six senses listed below (sight, sound, taste, touch, smell, and motion). Finally rate your ability to produce physical (bodily) and psychological (mental) feelings.</p><p>In this section, we purposely refrain from suggesting a specific word or phrase to imagine. This allows some people to do a better job without constraints. For others, this is too difficult and can be skipped. </p><p>3 OK. Let’s probe deeper into your imagery abilities. General Imagery Any Ability image? Ease Vividness Unpleasantness Pleasantness</p><p>Sense or YES NO L M H L M H Very Much Some Not NONE Not Some Much Very much Much Much Much Feeling General Imagery Ability Imagery using Sight Imagery using Sound Imagery using Taste Imagery using Touch Imagery using Smell Imagery using Motion Imagery based on Physical Sensation Imagery based on Psychological Sensation</p><p>Section 1. Visual Imagery</p><p>This part of the questionnaire is concerned with visual imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually looking at something (anything) which the word may suggest to you. </p><p> If you are able to obtain an image, or visual sensation, concentrate on it for a few seconds and then rate it. </p><p>4  If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word.</p><p>After you have followed the above procedure for all the words on this page, go on to the next section. </p><p>Visual Any Imagery image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very much Much Much Much</p><p>Words Attractive Brown Ugly Glaring Scenery</p><p>Section 2. Auditory Imagery</p><p>This part of the questionnaire is concerned with auditory (sound) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually listening to something (anything) which the word may suggest to you. </p><p> If you are able to obtain an image, or sound sensation, concentrate on it for a few seconds and then rate it. </p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word.</p><p>5 After you have followed the above procedure for all the words on this page, go on to the next section. </p><p>Auditory Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Crash Laugh Sound Scream Music</p><p>Section 3. Gustatory Imagery</p><p>This part of the questionnaire is concerned with gustatory (taste) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually tasting to something (anything) which the word may suggest to you.</p><p> If you are able to obtain an image, or taste sensation, concentrate on it for a few seconds and then rate it. </p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word.</p><p>After you have followed the above procedure for all the words on this page, go on to the next section.</p><p>6 Gustator y Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Bitter Delicious Eat Taste Sour</p><p>Section 4. Tactual Imagery</p><p>This part of the questionnaire is concerned with tactual (touch) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually touching something (anything) which the word may suggest to you. </p><p> If you are able to obtain an image, or touch sensation, concentrate on it for a few seconds and then rate it. </p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word. </p><p>After you have followed the above procedure for all the words on this page, go on to the next section.</p><p>7 Tactual Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Hand Soft Pain Sticky Touch</p><p>Section 5. Olfactory Imagery</p><p>This part of the questionnaire is concerned with olfactory (smell) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually smelling something (anything) which the word may suggest to you. </p><p> If you are able to obtain an image, or smell sensation, concentrate on it for a few seconds and then rate it. </p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word. </p><p>After you have followed the above procedure for all the words on this page, go on to the next section.</p><p>8 Olfactory Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Smell Fishy Cologne Stink Perfume</p><p>Section 6. Kinesthetic Imagery</p><p>This part of the questionnaire is concerned with kinesthetic (motion or bodily movement) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually moving in a way which the word may suggest to you. </p><p> If you are able to obtain an image, or motion sensation, concentrate on it for a few seconds and then rate it. </p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word. </p><p>After you have followed the above procedure for all the words on this page, go on to the next section.</p><p>9 Kinesthetic Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Dancing Falling Walking Running Exercising </p><p>Section 7. Somatic Imagery</p><p>This part of the questionnaire is concerned with general somatic (physical) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually having a general physical feeling or sensation which the word may suggest to you. </p><p> If you are able to obtain an image, or general physical sensation, concentrate on it for a few seconds and then rate it.</p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word.</p><p>After you have followed the above procedure for all the words on this page, go on to the next section.</p><p>10 Somatic Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Wonderful Hungary Nauseous Relaxed Anxious Miserable</p><p>Section 8. Psychological Imagery</p><p>This part of the questionnaire is concerned with general psychological (mental) imagery abilities. </p><p>For each word, read the word then close eyes and try to imagine that you are actually having a general psychological, or mental, feeling or sensation which the word may suggest to you.</p><p> If you are able to obtain an image, or general psychological sensation, concentrate on it for a few seconds and then rate it. </p><p> If the word does not produce an image within 15 seconds, indicate this by placing a check mark in the appropriate column and go on to the next word. </p><p>After you have followed the above procedure for all the words on this page, go on to the next section.</p><p>11 Psychologica l Imagery Any image? Ease Vividness Unpleasantness Pleasantness</p><p>YES NO L M H L M H Very Much Some Not NONE Not Some Much Very Words much Much Much Much Smart Relaxed Stupid Wonderful Anxious Miserable</p><p>Thank you. Please return this form to your instructor.</p><p>12</p>