To receive further information about the concepts underlying this assessment, complete the remaining fields.
1. I have trouble thinking clearly when I am under pressure.
SD
D
N
A
SA
2. I know
and believe that I am worthy of love, regardless of my failures or my accomplishments.
SD
D
N
A
SA
3. As part
of my normal routine, I take the time to appreciate the beauty and wonder of the world.
SD
D
N
A
SA
4. I excel
at evaluating multiple alternatives and recommending a prioritized course of action.
SD
D
N
A
SA
5. I tend
to be overwhelmed by my emotions.
SD
D
N
A
SA
6. I need a
lot of approval from others.
SD
D
N
A
SA
7. I am a
perfectionist.
SD
D
N
A
SA
8. I have a
short temper.
SD
D
N
A
SA
9. I tend
to feel vulnerable, like a child.
SD
D
N
A
SA
10. I tend
to be defiant.
SD
D
N
A
SA
11. I enjoy
manipulating situations to get what I want.
SD
D
N
A
SA
12. I am
comfortable asking for what I want.
SD
D
N
A
SA
13. I lack
the strength either to face adversity or embrace the opportunities that arise in my life.
SD
D
N
A
SA
14. I tend
to tell people what they want to hear, rather than risking possible conflict or discomfort
that might arise by saying what I really feel.
SD
D
N
A
SA
15. I find
myself in stressful or unhealthy relationships.
SD
D
N
A
SA
16. I tend
to rebel against authority.
SD
D
N
A
SA
17. I am
open to new relationships and like to connect at a deep, personal level with other people.
SD
D
N
A
SA
18. I have
keen insight and penetrate quickly to the heart of problems (the real issues).
SD
D
N
A
SA
19. I honor
and express my soul.
SD
D
N
A
SA
20. I have
no need or desire to pursue art.
SD
D
N
A
SA
21. Nobody
tells me what to do.
SD
D
N
A
SA
22. I view
situations and assess people in black and white terms.
SD
D
N
A
SA
23. I am
able to motivate, empower and bless others.
SD
D
N
A
SA
24. I have
a hard time delegating authority.
SD
D
N
A
SA
25. I tend
to procrastinate.
SD
D
N
A
SA
26. I have
a secure sense of my place in the world.
SD
D
N
A
SA
27. I
challenge or ignore others boundaries when they interfere with my own goals or
needs.
SD
D
N
A
SA
28. I like
to win by outwitting others.
SD
D
N
A
SA
29. I have
trouble organizing my schedule.
SD
D
N
A
SA
30. I can
feel sensual without feeling ashamed.
SD
D
N
A
SA
31. I
dont like to share everything I know about a situation, an issue or a person.
SD
D
N
A
SA
32. I am
willing and able to entrust important responsibilities to others.
SD
D
N
A
SA
33. I like
the idea of controlling a situation from a distance.
SD
D
N
A
SA
34. I feel
responsible for the well-being of others ahead of my own well-being.
SD
D
N
A
SA
35. I tend
to be swept away in my relationships.
SD
D
N
A
SA
36. I need
to have all the data before making a recommendation, because I dont want to make a
mistake.
SD
D
N
A
SA
37. I tend
to need a lot from the people I love.
SD
D
N
A
SA
38. I tend
to think that others are smarter than I am.
SD
D
N
A
SA
39. I plan
my life to avoid or smooth over conflict.
SD
D
N
A
SA
40. I
communicate the hard facts, even in difficult situations.
SD
D
N
A
SA
41. I
prefer not to explore my emotions.
SD
D
N
A
SA
42. I can
hurt other people with my humor.
SD
D
N
A
SA
43. I have
to win.
SD
D
N
A
SA
44. I
believe in a Higher Power beyond myself.
SD
D
N
A
SA
45. I
dont disclose information about myself because I dont want others to know what
Im really thinking.
SD
D
N
A
SA
46. I find
it difficult to connect at a personal or intimate level with others.
SD
D
N
A
SA
47. My mind
is disorganized.
SD
D
N
A
SA
48. I have
a hard time saying No to others requests.
SD
D
N
A
SA
49. I tend
to be suspicious about the motivations of others.
SD
D
N
A
SA
50. I have
a sense of vision and direction for my life.
SD
D
N
A
SA
51. I have
boundaries in my life (i.e., limits on what I will do, how much I will give, how much I
will concede) which I honor and enforce.
SD
D
N
A
SA
52. I can
be misled by others.
SD
D
N
A
SA
53. I take
time for self-renewal (being alone, quiet, reflective, introspective or contemplative).
SD
D
N
A
SA
54. Once I
develop a view of something, I seldom change.
SD
D
N
A
SA
55. I tend
to be skeptical about the abilities of others.
SD
D
N
A
SA
56. I can
stay calm and detached during crises.
SD
D
N
A
SA
57. I avoid
conflict situations or doing "the hard thing."
SD
D
N
A
SA
58. I can
put myself in the position of other people, and readily adapt my communication style so
they understand me.
SD
D
N
A
SA
59. I
expect perfect performance from myself and from others around me.
SD
D
N
A
SA
60. I tend
to feel numb.
SD
D
N
A
SA
61. I have
a hard time accepting direction, guidance or criticism from others.
SD
D
N
A
SA
62. I tend
to be undisciplined in my preparation for challenges.
SD
D
N
A
SA
63. I enjoy
holding and processing many dimensions of information at the same time.
SD
D
N
A
SA
64. I value
excellent physical conditioning and health. I am diligent in caring for my body.
SD
D
N
A
SA
65. I
dont consider myself to be spontaneous.
SD
D
N
A
SA
66. I have
an alive connection with the spiritual dimension.
SD
D
N
A
SA
67. I will
do whatever I can to avoid violence.
SD
D
N
A
SA
68. I am
not confused or fooled by others.
SD
D
N
A
SA
69. I tend
to live in emotional extremes.
SD
D
N
A
SA
70. I have
trouble taking things through to completion.
SD
D
N
A
SA
71. I am at
ease receiving and accepting praise, thanks or blessing from others.
SD
D
N
A
SA
72. I need
to be the leader.
SD
D
N
A
SA
73. I can
cut my losses and move on to the next project or relationship without dwelling on the
past.
SD
D
N
A
SA
74. I
strive to be the center of attention.
SD
D
N
A
SA
75. When
others give me an assignment or a job to do, I honor their directions and complete the job
as they would want it done.
SD
D
N
A
SA
76. I see
meaning in symbolism and ritual.
SD
D
N
A
SA
77. My sex
life is listless, inhibited or non-existent.
SD
D
N
A
SA
78. I get
impatient waiting for others to catch up with me.
SD
D
N
A
SA
79. I can
hold my impressions of situations or people without making quick judgments.
SD
D
N
A
SA
80. I can
never get enough of the things I want or like (e.g., money, possessions, food, pleasure,
work).
SD
D
N
A
SA
81. I tend
to think most people are better than I am.
SD
D
N
A
SA
82. I am
afraid of being alone or abandoned.
SD
D
N
A
SA
83. I can
"see" into the heart of another person with understanding and compassion.
SD
D
N
A
SA
84. I tend
to feel worthless, unloved or unlovable.
SD
D
N
A
SA
85. I am
focused and determined when working on tasks. I do not get diverted.
SD
D
N
A
SA
86.
Its hard for me to have fun.
SD
D
N
A
SA
87. I tend
to do things so other people will like me.
SD
D
N
A
SA
88. I have
a sense of loyalty and duty, especially when I can be of service to those in
authority.
SD
D
N
A
SA
89. I am in
touch with my emotions.
SD
D
N
A
SA
90. I have
trouble maintaining my focus on details, and, as a result, make mistakes.
SD
D
N
A
SA
91. I tend
to know what is the best idea in any situation.
SD
D
N
A
SA
92. I am
sexually restless.
SD
D
N
A
SA
93. I want
things done my way.
SD
D
N
A
SA
94. I
cant tolerate incompetent or weak people.
SD
D
N
A
SA
95. I know
my skills and strengths, and work constantly to develop and use them.
SD
D
N
A
SA
96. I feel
my life lacks purpose and direction.
SD
D
N
A
SA