| 1. Do you sometimes have difficulty getting out of bed in the
morning? |
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| 2. Do you sometimes focus on all the times you "blew
it" and things didn't work out? |
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| 3. Do you often find yourself expecting
the worst so as not to be disappointed? |
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| 4. Do you sometimes observe yourself
feeling anxious when you hear good news in anticipation of
the bad that will surely follow? |
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| 5. When asked "what
do you do?", do you frequently answer "I don't know"? |
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| 6. Do you often hear yourself saying
"it doesn't matter" when you are asked what you want? |
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| 7. Do you often find yourself citing
the mistakes, blunders, mishaps and boo-boos in your past
as justification not to take another risk? |
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| 8. When imaging a "big goal", do
you hear the voices in your head saying "You can't do that"
"You'd never be able to..."? |
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| 9. Do you have difficulty being enthusiastic
about your "To Do List"? |
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| 10. Do you frequently find fault
with little things you do? |
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| 11. Do you hear youself putting yourself
down re: what you wear, how you walk, what you say? |
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| 12. Do you have lists of things you
have never accomplished that you use against yourself? |
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| 13. Do you have difficulty celebrating
your accomplishments? |
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| 14. When you start to imagine your
goals do you hear, "who do you think you are?" in your head? |
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| 15. When friends compliment you,
do you brush it off, dismiss it, or look for an ulterior
motive? |
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| 16. When you look in the mirror do
you often count the grey hairs and wrinkles? |
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| Do you think you could ever......... |
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| 17. Have the dream home want? |
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| 18. Have the ideal relationship that
you want? |
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| 19. Make the amount of money that
you want? |
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| 20. Have the body you want? |
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| 21. Have a job that you enjoy, which
is satisfying and rewarding? |
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| Do you frequently get angry at yourself..... |
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| 22. For spending too much/or being
a cheapskate? |
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| 23. For eating too much? |
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| 24. For drinking too much? |
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| 25. For wasting time? |
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| Do you frequently feel.... |
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| 26. Angry
at yourself or other |
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| 27. Anxious
in general or in specific |
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| 28. Confused
about what to do |
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| 29. Depressing
about anything or nothing |
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| 30. Hesitant |
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| 31. Impatient |
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| 32. Insecure |
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| 33. Lonely |
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| 34. Regretful |
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| 35. Unhappy |
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| 36. Unloved |
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| 37. Worried |
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| Do you seldom feel..... |
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| 38. Calm |
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| 39. Capable |
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| 40. Certain |
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| 41. Competent |
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| 42. Confident |
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| 43. Enthusiastic |
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| 44. Happy |
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| 45. Joyful |
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| 46. Lovable |
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| 47. Optimistic |
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| 48. Powerful |
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| 49. Satisfied |
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| 50. Do you constantly work and strive
but rarely experience completion and satisfaction? |
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