| I do not like who I am |
| Less True - 1 2 3 4 5 - More True |
| I feel like I have lost who I am and don’t know what I stand for |
| Less True - 1 2 3 4 5 - More True |
| I often get a sense that there is something ‘wrong’ with me |
| Less True - 1 2 3 4 5 - More True |
| I feel different from others and have trouble ‘fitting in’ |
| Less True - 1 2 3 4 5 - More True |
| I have a tendency to say yes to things I don’t agree with or feel comfortable with |
| Less True - 1 2 3 4 5 - More True |
| I compare myself to others and wish I was more like them |
| Less True - 1 2 3 4 5 - More True |
| I blame myself when things go wrong in my relationships |
| Less True - 1 2 3 4 5 - More True |
| I feel guilty when I say no |
| Less True - 1 2 3 4 5 - More True |
| I find that I tend to say sorry a lot |
| Less True - 1 2 3 4 5 - More True |
| I shy away from meeting new people or going new places |
| Less True - 1 2 3 4 5 - More True |
| I isolate from others and feel safer being on my own |
| Less True - 1 2 3 4 5 - More True |
| I feel insecure about myself in social settings |
| Less True - 1 2 3 4 5 - More True |
| I find it very difficult making decisions |
| Less True - 1 2 3 4 5 - More True |
| I can’t make a decision unless I seek other people’s opinions first |
| Less True - 1 2 3 4 5 - More True |
| I will change my mind if someone does not agree with me |
| Less True - 1 2 3 4 5 - More True |
| I can get easily upset and offended |
| Less True - 1 2 3 4 5 - More True |
| I sometimes think that good things only happen to others |
| Less True - 1 2 3 4 5 - More True |
| I tend say “I can’t, I should have, I must, life sucks? |
| Less True - 1 2 3 4 5 - More True |
| I say negative things about myself i.e. ‘I am stupid, no good, ugly, no body wants me’ |
| Less True - 1 2 3 4 5 - More True |
| I replay events and conversations fretting I may have said or done something wrong |
| Less True - 1 2 3 4 5 - More True |
| I feel bored with my life but powerless to change it |
| Less True - 1 2 3 4 5 - More True |
| I wear clothing to hide my looks |
| Less True - 1 2 3 4 5 - More True |
| I think that people are constantly watching me and looking out for me to make a mistake |
| Less True - 1 2 3 4 5 - More True |
| I believe I could never be happy without a relationship |
| Less True - 1 2 3 4 5 - More True |
| I often feel lonely and isolated |
| Less True - 1 2 3 4 5 - More True |
| I feel lost with no sense of direction and purpose in life |
| Less True - 1 2 3 4 5 - More True |
| I tend to walk with my head down and feel self conscious in public |
| Less True - 1 2 3 4 5 - More True |
| I find it hard to maintain eye contact |
| Less True - 1 2 3 4 5 - More True |
| I find it hard to accept compliments |
| Less True - 1 2 3 4 5 - More True |
| I avoid taking risks preferring what I know to what I don’t |
| Less True - 1 2 3 4 5 - More True |
| I avoid conflict as much as possible |
| Less True - 1 2 3 4 5 - More True |
| I have difficult saying no and asserting what I need |
| Less True - 1 2 3 4 5 - More True |
| I minimise things are not so bad |
| Less True - 1 2 3 4 5 - More True |
| I am afraid of being wrong |
| Less True - 1 2 3 4 5 - More True |
| I am afraid of making mistakes and try hard to do things correctly |
| Less True - 1 2 3 4 5 - More True |
| I beat myself up when I fail at something |
| Less True - 1 2 3 4 5 - More True |
| I feel unloved and unwanted |
| Less True - 1 2 3 4 5 - More True |
| I don’t know or don’t think I have any special qualities or abilities |
| Less True - 1 2 3 4 5 - More True |
| I don’t feel accepted more rejected than anything else |
| Less True - 1 2 3 4 5 - More True |
| I think if others changed or my circumstances change I would be happier |
| Less True - 1 2 3 4 5 - More True |
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