Check the boxes which apply to you; go with your first reaction on reading each statement. Not every box will require a tick. When you're finished use the calculate button at the end to see recommended remedies then you can email me for a treatment bottle if you wish.

 

I hide my feelings behind a facade of cheerfulness
I dislike arguments and often give in to avoid conflict

Because I want to please
Because I don't want to show emotions

I turn to food, work, alcohol, drugs, etc. when down

I feel anxious without knowing why
I have a secret fear that something bad will happen
I wake up feeling anxious

I get annoyed by the habits of others
I focus on others' mistakes
I am critical and intolerant

I often neglect my own needs to please
I find it difficult to say "no"
I tend to be easily influenced

I constantly second-guess myself
I seek advice, mistrusting my own intuition
I often change my mind out of confusion

I'm afraid I might lose control of myself
I have sudden fits of rage
I feel like I'm going crazy

I make the same mistakes over and over
I don't learn from my experience
I keep repeating the same patterns

I need to be needed and want my loved ones close
I feel unloved and unappreciated by my family
I easily feel slighted and hurt

I often feel spacey and absent minded
I find myself unable to concentrate for long
I get drowsy and sleep more than necessary

I am overly concerned with cleanliness
I feel unclean or physically unattractive
I tend to obsess over little things

I feel overwhelmed by my responsibilities
I don't cope well under pressure
I have temporarily lost my self-confidence

I become discouraged with small setbacks
I am easily disheartened when faced with difficulties
I am often skeptical and pessimistic

I feel hopeless, and can't see a way out
I lack faith that things could get better in my life
I feel sullen and depressed

I am obsessed with my own troubles
I dislike being alone and I like to talk

I am suspicious of others
I feel discontented and unhappy
I am full of jealousy, mistrust, or hate

I'm often homesick for the "way it was"
I think more about the past than the present
I often think about what might have been

I often feel too tired to face the day ahead

Once I begin things my energy returns
..and this feeling continues all day long on physical and mental level
Because I'm resigned to live my life as it is

I feel mentally exhausted
I tend to put things off

I find it hard to wait for things
I am impatient and irritable
I prefer to work alone

Because I prefer my own company
Because people can't work as well, or as fast, as I can

I lack self-confidence
I feel inferior and often become discouraged
I never expect anything but failure

I am afraid of things such as spiders, illness, etc.
I am shy, overly sensitive, and modest
I get nervous and embarrassed

I get depressed without any reason
I feel my moods swinging back and forth
I get gloomy feelings that come and go

I tend to overwork and keep on in spite of exhaustion

Because I want to keep others happy
Because I feel I should, in order to complete the job

I have a strong sense of duty and never give up
I neglect my own needs in order to complete a task

I feel completely exhausted, physically and/ or mentally
I am totally drained of all energy with no reserves left
I have just been through a long period of illness or stress

I feel unworthy and inferior
I often feel guilty
I blame myself for everything that goes wrong

I am overly concerned and worried about my loved ones
I am distressed and disturbed by other people's problems
I worry that harm may come to those I love

I sometimes feel terror and panic
I become helpless and frozen when afraid
I suffer from nightmares

I set high standards for myself
I am strict with my health, work &/or spiritual discipline
I am very self-disciplined, always striving for perfection

I find it difficult to make decisions
I often change my opinions
I have intense mood swings

I feel devastated due to a recent shock
I am withdrawn due to traumatic events in my life
I have never recovered from loss or fright

I feel extreme mental or emotional heartache
I have reached the limits of my endurance
I am in complete despair, all hope gone

I get high-strung and very intense
I try to convince others of my way of thinking
I am sensitive to injustice, almost fanatical

I tend to take charge of projects, situations, etc.
I consider myself a natural leader
I am strong-willed, ambitious and often bossy

I am experiencing change in my life--a move, new job, etc.
I get drained by people or situations
I want to be free to follow my own ambitions

I give the impression that I'm aloof
I prefer to be alone when overwhelmed
I often don't connect with people

I am constantly thinking unwanted thoughts
I relive unhappy events or arguments over and over again
I am unable to sleep at times because I can't stop thinking

I can't find my path in life

Because I'm trying to work out what will make others happy
Because there are so many things I want to do

I am drifting in life and lack direction
I am ambitious but don't know what to do

I am apathetic and resigned to whatever happens

But I'm willing to try new things that may help
Because I can't control what happens anyway

I have the attitude, "It doesn't matter anyhow"
I feel no joy in life

I feel resentful and bitter

Because of an injustice that has occurred
..And these feelings are explosive
Because I feel unappreciated by those I love
Because it just isn't fair, and I don't deserve such things to happen

I have difficulty forgiving and forgetting
I think life is unfair and have a "Poor me attitude"

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If you wish to purchase your recommended treatment, please contact us on bcominghealthy@gmail.co.nz