Initial Quiz

I feel blue or downhearted more than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel angry more than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel “keyed up” more than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I have difficulty getting along with others more than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I find myself often in engaging certain activities I regret *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I have trouble dealing with my children *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I need to simplify my life *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I’m not as capable as most other people *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to be better at accomplishing my goals *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I have a number of bad habits I wish I could break *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to enjoy life more *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel hopeless more than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel frustrated more than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I worry more than most people *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I have more broken relationships than I would like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

If I’m upset, I use unhealthy ways to soothe myself *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I don’t know how to get my kids to listen to me *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I wish I could get rid of many of my obligations *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

Things don’t work out for me because I’m unlucky *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to feel more capable in my chosen field of contribution *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to accomplish important goals in life *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

Sometimes I don’t know where to start, so I don’t *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I often wonder how other people manage to be happy *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

When I get angry, it lasts longer than I’d like *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I limit my activities because of my worries *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

When I have a relationship problem, I don’t know how to fix it *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I often use bad choices to take the edge off unhappiness *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

My children don’t respect me *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel overstressed *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel hesitant to take risks, even healthy ones *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

The way I earn a living seems meaningless *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

There are many things I want to accomplish in life *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I have difficulty getting tasks completed *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

If only my circumstances would change, I would be happier *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I often feel sad or hopeless *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

When I get angry, I often do things I regret *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I change my routines so I’ll feel less worried *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I’ve never had a close friendship/romance last more than a few weeks *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I would feel deeply ashamed if people knew some of the things I do repeatedly *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to be a much better parent *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I feel overwhelmed with many obligations *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

Something bad might happen if people knew the real me *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to do better at work/school *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I want to “pay it forward” in my life *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I procrastinate important things a lot *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

I’m still not happy even though I should be *

Did not apply to me at all
Applied to me a little or sometimes
Applied to me quite a bit of the time
Applied to me much or most of the time

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