Spectacular Self Esteem OR Self Love In The Toilet?


Your Age:
Your Gender (M or F):

I think I am a failure.
Never
Seldom
Sometimes
Often
Always

I believe that there is nothing lovable or valuable about me.
Never
Seldom
Sometimes
Often
Always

I feel distanced from loved ones, friends and co-workers by an invisible wall that prevents me from opening up and trusting those closest to me.
Never
Seldom
Sometimes
Often
Always

I feel I could disappear from the face of the earth and nobody would even notice.
Never
Seldom
Sometimes
Often
Always

I will never amount to anything significant.
Never
Seldom
Sometimes
Often
Always

I feel most people around me are better off than I am.
Never
Seldom
Sometimes
Often
Always

I feel a sensation that something vital is missing from my life? An inner disconnection I live with on a daily basis.
Never
Seldom
Sometimes
Often
Always

I feel unfulfilled by my job, earn less money, get sick often, and even suffer from recurring bouts of depression and anxiety.
Never
Seldom
Sometimes
Often
Always

I shy away from intimate, healthy relationships and friendships.
Never
Seldom
Sometimes
Often
Always

I put myself down and I am very hard on myself.
Never
Seldom
Sometimes
Often
Always

I keep “replaying” derogatory comments in my head over and over again, reinforcing these negative statements.
Never
Seldom
Sometimes
Often
Always

I have a nagging belief that there is something wrong or lacking in me.
Never
Seldom
Sometimes
Often
Always

I treat other people as poorly as I treat myself sometimes.
Never
Seldom
Sometimes
Often
Always

It is difficult for me to look past my flaws and imperfections.
Never
Seldom
Sometimes
Often
Always

I avoid doing nice things for myself or pampering myself.
Never
Seldom
Sometimes
Often
Always

I push myself to do and be better and encourage myself to grow and stretch beyond my perceived limits.
Never
Seldom
Sometimes
Often
Always

I can imagine myself as I would like to be: (successful, attractive, wealthy, fit, happy, confident, radiant or well-adjusted).
Never
Seldom
Sometimes
Often
Always

I wake up everyday and know what my positive traits are.
Never
Seldom
Sometimes
Often
Always

I am willing to take the leap and choose to believe in myself.
Never
Seldom
Sometimes
Often
Always

I love being me.
Never
Seldom
Sometimes
Often
Always





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