1. I feel bitterness towards my (father, mother, God, other).
Never
Rarely
Sometimes
Usually
Always
2. I do things I regret later on.
Never
Rarely
Sometimes
Usually
Always
3. It seems like life is hopeless.
Never
Rarely
Sometimes
Usually
Always
4. I feel rejected by others.
Never
Rarely
Sometimes
Usually
Always
5. I feel trapped by what is going on in my life.
Never
Rarely
Sometimes
Usually
Always
6. When things are going well, I always worry that something bad will happen.
Never
Rarely
Sometimes
Usually
Always
7. 'I want what I want when I want it!'
Never
Rarely
Sometimes
Usually
Always
8. I feel rejected by myself, others, or God.
Never
Rarely
Sometimes
Usually
Always
9. I feel that I'm no good and my background is shameful.
Never
Rarely
Sometimes
Usually
Always
10. I am uncomfortable when I am not in control.
Never
Rarely
Sometimes
Usually
Always
11. I have a low opinion of myself.
Never
Rarely
Sometimes
Usually
Always
12. I try to get others to do things for me.
Never
Rarely
Sometimes
Usually
Always
13. I feel there are people in my life that can't or won't forgive me for things I have done.
Never
Rarely
Sometimes
Usually
Always
14. I overdo some actions (shopping, eating, sleeping) when I feel bad or good.
Never
Rarely
Sometimes
Usually
Always
15. I find it hard to believe that things can change.
Never
Rarely
Sometimes
Usually
Always
16. I am afraid to love completely.
Never
Rarely
Sometimes
Usually
Always
17. I don't have much fun because I feel that life is not much fun.
Never
Rarely
Sometimes
Usually
Always
18. I worry about what may happen.
Never
Rarely
Sometimes
Usually
Always
19. I get angry or irritated with the way other people do things.
Never
Rarely
Sometimes
Usually
Always
20. I feel that people are too sensitive.
Never
Rarely
Sometimes
Usually
Always
21. It is difficult to find things to be grateful for in my life.
Never
Rarely
Sometimes
Usually
Always
22. I expect the worst to happen.
Never
Rarely
Sometimes
Usually
Always
23. I feel that I am not as successful as I should be.
Never
Rarely
Sometimes
Usually
Always
24. There is a part of me that is out of control.
Never
Rarely
Sometimes
Usually
Always
25. If someone hurts me, I have trouble having good feelings about them again.
Never
Rarely
Sometimes
Usually
Always
26. I do things to make myself look good to others.
Never
Rarely
Sometimes
Usually
Always
27. I feel that something bad is bound to happen.
Never
Rarely
Sometimes
Usually
Always
28. I need other people's approval to feel good about myself.
Never
Rarely
Sometimes
Usually
Always
29. I tend to feel sad.
Never
Rarely
Sometimes
Usually
Always
30. I have anxiety.
Never
Rarely
Sometimes
Usually
Always
31. I get frustrated when things don't go the way I want them to go.
Never
Rarely
Sometimes
Usually
Always
32. I have experienced tremendous unkindness.
Never
Rarely
Sometimes
Usually
Always
33. Unresolved fears negatively affect my life.
Never
Rarely
Sometimes
Usually
Always
34. I feel like 'It's not fair!'
Never
Rarely
Sometimes
Usually
Always
35. I want people to think well of me.
Never
Rarely
Sometimes
Usually
Always
36. I feel incapable of doing what's expected of me.
Never
Rarely
Sometimes
Usually
Always
37. I have negative feelings and thoughts toward myself when I fall short.
Never
Rarely
Sometimes
Usually
Always
38. I do things I know I shouldn't do.
Never
Rarely
Sometimes
Usually
Always
39. I feel powerless.
Never
Rarely
Sometimes
Usually
Always
40. I focus mostly on myself.
Never
Rarely
Sometimes
Usually
Always
41. Joy comes from positive results such as money, work, drugs, promotions, new things, approval, etc.
Never
Rarely
Sometimes
Usually
Always
42. I feel that if I could just get more ___________ I would have peace.
Never
Rarely
Sometimes
Usually
Always
43. I am an impatient person.
Never
Rarely
Sometimes
Usually
Always
44. People who should have been kind to me were not.
Never
Rarely
Sometimes
Usually
Always
45. I feel guilty or ashamed.
Never
Rarely
Sometimes
Usually
Always
46. I worry about how things will turn out.
Never
Rarely
Sometimes
Usually
Always
47. I feel like I am better than others.
Never
Rarely
Sometimes
Usually
Always
48. I have trouble controlling myself.
Never
Rarely
Sometimes
Usually
Always
49. I have negative feelings and thoughts toward myself and/or others for past issues.
Never
Rarely
Sometimes
Usually
Always
50. I use substances (food, drugs, smoking, etc.) to reduce anxiety.
Never
Rarely
Sometimes
Usually
Always
51. Other people cause me to be happy or unhappy.
Never
Rarely
Sometimes
Usually
Always
52. I feel that I am not loved enough.
Never
Rarely
Sometimes
Usually
Always
53. I feel like giving up.
Never
Rarely
Sometimes
Usually
Always
54. I feel that things don't change; the future will be like the past.
Never
Rarely
Sometimes
Usually
Always
55. When I feel frustrated I do unhealthy things such as overeating, yelling, fighting, etc.
Never
Rarely
Sometimes
Usually
Always
56. Life is unkind.
Never
Rarely
Sometimes
Usually
Always
57. I feel afraid that if people really knew me they would not like who I am.
Never
Rarely
Sometimes
Usually
Always
58. I compare myself to others.
Never
Rarely
Sometimes
Usually
Always
59. I feel I don't deserve success.
Never
Rarely
Sometimes
Usually
Always
60. I need to feel in control.
Never
Rarely
Sometimes
Usually
Always
61. I am at peace with things that have been done to me in the past.
Never
Rarely
Sometimes
Usually
Always
62. I am wise enough to make good choices.
Never
Rarely
Sometimes
Usually
Always
63. I can face whatever life has to offer.
Never
Rarely
Sometimes
Usually
Always
64. I go out of my way to help others.
Never
Rarely
Sometimes
Usually
Always
65. I deliberately look for things to feel grateful about each day.
Never
Rarely
Sometimes
Usually
Always
66. All things work together for good.
Never
Rarely
Sometimes
Usually
Always
67. When I feel frustrated, I pause and calm myself.
Never
Rarely
Sometimes
Usually
Always
68. Every week I help someone in need.
Never
Rarely
Sometimes
Usually
Always
69. My life on Earth is meaningful.
Never
Rarely
Sometimes
Usually
Always
70. I believe miracles can happen.
Never
Rarely
Sometimes
Usually
Always
71. I am an equal, not better or worse.
Never
Rarely
Sometimes
Usually
Always
72. I set reasonable standards and goals for myself.
Never
Rarely
Sometimes
Usually
Always