Be A Better You
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Be A Better You
Home
About
Specialities
Therapy Types
Schedule Booking
Credentials
Questionnaire
Contact
Questionnaire
Do you...
Sometimes feel like you don't belong when with your family or friends?
Sometimes feel like you don't belong when with your family or friends?
Yes
No
Pride yourself on not relying upon others?
Pride yourself on not relying upon others?
Yes
No
Have difficulty asking for help?
Have difficulty asking for help?
Yes
No
Have friends or family who complain that you are aloof or distant?
Have friends or family who complain that you are aloof or distant?
Yes
No
Often just want to be left alone?
Often just want to be left alone?
Yes
No
Often feel irritable or unhappy for no apparent reason?
Often feel irritable or unhappy for no apparent reason?
Yes
No
Tend to feel uncomfortable in social situations?
Tend to feel uncomfortable in social situations?
Yes
No
Feel you have not met your potential in life?
Feel you have not met your potential in life?
Yes
No
Secretly feel that you may be a fraud?
Secretly feel that you may be a fraud?
Yes
No
Often feel disappointed with or angry at yourself?
Often feel disappointed with or angry at yourself?
Yes
No
Judge yourself more harshly than you judge others?
Judge yourself more harshly than you judge others?
Yes
No
Compare yourself to others and often find yourself sadly lacking?
Compare yourself to others and often find yourself sadly lacking?
Yes
No
Find it easier to love animals than people?
Find it easier to love animals than people?
Yes
No
Have trouble identifying your strengths and weaknesses?
Have trouble identifying your strengths and weaknesses?
Yes
No
Sometimes feel like you're on the outside looking in?
Sometimes feel like you're on the outside looking in?
Yes
No
Have trouble knowing what you're feeling?
Have trouble knowing what you're feeling?
Yes
No
Believe you're one of those people who could easily live as a hermit?
Believe you're one of those people who could easily live as a hermit?
Yes
No
Feel there's something holding you back from being in the present moment?
Feel there's something holding you back from being in the present moment?
Yes
No
Have trouble calming yourself?
Have trouble calming yourself?
Yes
No
Struggle with self discipline?
Struggle with self discipline?
Yes
No
At times feel empty inside?
At times feel empty inside?
Yes
No
Secretly feel there's something wrong with you?
Secretly feel there's something wrong with you?
Yes
No
Ruminate a lot?
Ruminate a lot?
Yes
No
Having trouble setting boundaries?
Having trouble setting boundaries?
Yes
No
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