Emotional Blocks Questionnaire

I often feel that others are the cause of my problems. If they would change or do things differently, I could be happy.

Q1: I feel this currently

Q1: I used to feel this

Q1: I’ve never really felt this

I often feel that because of certain circumstances in my life, I can’t be happy or loving.

Q2: I feel this currently

Q2: I used to feel this

Q2: I’ve never really felt this

I sometimes think “Life is not worth the trouble,” or “Why bother?”

Q3: I feel this currently

Q3: I used to feel this

Q3: I’ve never really felt this

Sometimes I feel like hiding from the world.

Q4: I feel this currently

Q4: I used to feel this

Q4: I’ve never really felt this

I constantly question and re-question my own actions.

Q5: I feel this currently

Q5: I used to feel this

Q5: I’ve never really felt this

I am not always sure that what I am doing in my life is the right thing.

Q6: I feel this currently

Q6: I used to feel this

Q6: I’ve never really felt this

I’m basically happy, but my life lacks passion. Nothing really excites me.

Q7: I feel this currently

Q7: I used to feel this

Q7: I’ve never really felt this

I do not care much about what happens to me. Whatever happens, happens.

Q8: I feel this currently

Q8: I used to feel this

Q8: I’ve never really felt this

I am often annoyed with the faults of others.

Q9: I feel this currently

Q9: I used to feel this

Q9: I’ve never really felt this

I often think that my way is the right way and other people’s ways are usually wrong.

Q10: I feel this currently

Q10: I used to feel this

Q10: I’ve never really felt this

I often put things off because I don’t feel prepared to finish them.

Q11: I feel this currently

Q11: I used to feel this

Q11: I’ve never really felt this

I feel uncertain as to whether I am capable of doing the things I say I will do.

Q12: I feel this currently

Q12: I used to feel this

Q12: I’ve never really felt this

When I make changes or take risks it makes me feel very nervous.

Q13: I feel this currently

Q13: I used to feel this

Q13: I’ve never really felt this

I feel anxious when I don’t know what’s going to happen next in my life.

Q14: I feel this currently

Q14: I used to feel this

Q14: I’ve never really felt this

Nothing is ever good enough.

Q15: I feel this currently

Q15: I used to feel this

Q15: I’ve never really felt this

I feel like something is wrong with me when I make a mistake.

Q16: I feel this currently

Q16: I used to feel this

Q16: I’ve never really felt this

I often feel as though I give and give and give, and I don’t get back what I deserve.

Q17: I feel this currently

Q17: I used to feel this

Q17: I’ve never really felt this

I often feel that life is unfair

Q18: I feel this currently

Q18: I used to feel this

Q18: I’ve never really felt this

I often feel, because of circumstances, that I can’t be myself, or do what I want to do.

Q19: I feel this currently

Q19: I used to feel this

Q19: I’ve never really felt this

I have a hard time feeling grateful for the good things in my life.

Q20: I feel this currently

Q20: I used to feel this

Q20: I’ve never really felt this

When I don’t understand what is going on, I feel helpless and assume the worst.

Q21: I feel this currently

Q21: I used to feel this

Q21: I’ve never really felt this

I must have the answer right away and cannot stand to live with an unanswered question.

Q22: I feel this currently

Q22: I used to feel this

Q22: I’ve never really felt this

I often feel I am the cause of other problems. I have a hard time forgiving myself.

Q23: I feel this currently

Q23: I used to feel this

Q23: I’ve never really felt this

I feel bad about every mistake I make. Mistakes make me feel like I am not a good person.

Q24: I feel this currently

Q24: I used to feel this

Q24: I’ve never really felt this

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