The following information has been provided by Mental Health America. Please visit this website for further information.
|
|
Instructions: Please Answer "Yes" or "No" to the Following Statements
1. Do you keep quiet to avoid arguments?
2. Are you always worried about others opinions of you?
3. Have you ever lived with someone with an alcohol or drug problem?
4. Have you ever lived with someone who hits or belittles you?
5. Are the opinions of others more important than your own?
6. Do you have difficulty adjusting to changes at work or home?
7. Do you feel rejected when significant others spend time with friends?
8. Do you doubt your ability to be who you want to be?
9. Are you uncomfortable expressing your true feelings to others?
10. Have you ever felt inadequate?
11. Do you feel like a bad person when you make a mistake?
12. Do you have difficulty taking compliments or gifts?
13. Do you feel humiliation when your child or spouse makes a mistake?
14. Do you think people in your life would go downhill without your constant efforts?
15. Do you frequently wish someone could help you get things done?
16. Do you have difficulty talking to people in authority, such as the police or your boss?
17. Are you confused about who you are or where you are going with your life?
18. Do you have trouble saying no when asked for help?
19. Do you have trouble asking for help?
20. Do you have so many things going at once that you can't do justice to any of them?
If you answered yes to Three or more of these statements, please see a Healthcare Professional for further evaluation.
|
|