Please check each of the sentences below that applies to you:

Part l

• Your life seems incomplete
• You feel shy with all but your closest friends
• You have feelings of insecurity
• You often feel unequal to others
• When things go right, you feel undeserving
• You feel something is missing in your life
• You occasionally feel a low self-worth or self-esteem
• You feel inadequate as a person
• You frequently feel fearful when there is nothing to fear

• You often feel anxious for no reason
• You sometimes feel “free-floating” anxiety
• You frequently feel “edgy” and it’s difficult to relax
• You often feel a “knot” in your stomach
• Falling asleep is sometimes difficult
• It’s hard to turn your mind off when you want to relax
• You occasionally experience feelings of panic for no reason
• You often use alcohol or other sedatives to calm down

• You lack pleasure in your life
• You feel there are no real rewards in life
• You have unexplained lack of concern for others, even loved ones
• You experience decreased parental feelings
• Life seems less “colorful” or “flavorful”
• Things that used to be “fun” just aren’t any longer
• You have become a less spiritual or socially concerned person

• You suffer from a lack of energy
• You often find it difficult to “get going”
• You suffer from decreased drive
• You often start projects and then don’t finish them
• You frequently feel a need to sleep or “hibernate”
• You feel depressed a good deal of the time
• You occasionally feel paranoid
• Your survival seems threatened
• You are bored a great deal of the time

• It’s hard for you to go to sleep
• You can’t stay asleep
• You often find yourself irritable
• Your emotions often lack rationality
• You occasionally experience unexplained tears
• Noise bothers you more than it used to; it seems louder than normal
• You flare up at others more easily than you used to; you experience unprovoked anger
• You feel depressed much of the time
• You find you are more susceptible to pain
• You prefer to be left alone