Apperception Response Form
Viewer responses will remain anonymous and be cataloged as part of this art collection's evolution.  Survey results will be analyzed for artistic purposes only.  Participation in this survey is voluntary and you may opt out at any point.  If you have any questions about this survey,  you may reach out to the artist by email: art@sarahlorentz.com.  Thank you for your participation!

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INSTRUCTIONS: For each of the following paintings,  please select the response that most closely describes the interaction taking place between the figures.
1 Mostly negative
2 Slightly negative
3 Neutral
4 Slightly positive
5 Mostly positive
All Fun and Games
A Quiet Corner
Warning Signs
Don't Hang Up
Act the Part
The Greatest Generation
Dress Up
Self Love
Soap Box
Stale Air
A-Frame
The Compartments
Temporary Arrangements
The Wave Continues
And Then Sleep
To Her Surprise
Heads Bowed
Silent Treatment
A Degree of Separation
These Things are Fragile
Family Resemblance
Ladylike
The Games we Play
Observe and Report
Frame the Shot
With Dignity
Looking Back
Clear selection
INSTRUCTIONS: Below is a list of problems and complaints that people sometimes have in response to stressful life experiences. Please read each one carefully, then check/circle one of the numbers to the right to indicate how much you have been bothered by that problem in the past month. *
1 Not at all
2 A little bit
3 Moderately
4 Quite a bit
5 Extremely
Repeated, disturbing memories, thoughts, or images of a stressful experience from the past?
Repeated, disturbing dreams of a stressful experience from the past?
Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)?
Feeling very upset when something reminded you of a stressful experience from the past?
Having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something reminded you of a stressful experience from the past?
Avoiding thinking about or talking about a stressful experience from the past or avoiding having feelings related to it?
Avoiding activities or situations because they reminded you of a stressful experience from the past?
Trouble remembering important parts of a stressful experience from the past?
Loss of interest in activities that you used to enjoy?
Feeling distant or cut off from other people?
Feeling emotionally numb or being unable to have loving feelings for those close to you?
Feeling as if your future will somehow be cut short?
Trouble falling or staying asleep?
Feeling irritable or having angry outbursts?
Having difficulty concentrating?
Being "super-alert" or watchful or on guard?
Feeling jumpy or easily startled?
Select your age range *
Do you identify as: *
Do you identify as: *
Required
Do you have any other comments about the artwork, this survey, or your experience? (optional)
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