I often feel sad or hopeless.

True

False

I am frustrated with the direction of my life.

True

False

I feel worried/anxious much of the time.

True

False

I feel overwhelmed by the stress of my daily life

True

False

I am disappointed in the quality of my relationships.

True

False

I am struggling to come to terms with issues in my past.

True

False

I give so much of myself to others and get so little in return.

True

False

I would like to be a more peaceful, effective person.

True

False

I keep experiencing the same problems over and over again.

True

False

I would like to develop greater self-esteem.

True

False

I am too easily swayed by other's opinions of how I should live or act.

True

False

I would like to get more out of my life and relationships.

True

False