Schema QuestionnaireFebruary 2, 2025 Schema Questionnaire We ask for your name on each test to allow us to keep track of test completion. Upon receipt, all response sheets will be assigned code numbers so that your data will not be identifiable. The information linking you to your responses will be eliminated to protect your anonymity. All data will be looked at and reported in aggregate form, meaning that the results of the program will be discussed in general with no reference to any specific individual’s data. All participant data will be stored, evaluated, and managed securely to assure confidentiality and privacy throughout its lifecycle. Listed below are statements that someone might use to describe themselves. Please read each statement and decide how well it describes you. When you are not sure, base your answer on what you emotionally feel, NOT on what you think to be true. Choose the highest rating from 1 to 6 that describes you and write the number on the line before each statement. 1 completely untrue of me 2 mostly untrue of me 3 slightly more true than untrue 4 moderately true of me 5 mostly true of me 6 describes me perfectly I haven't gotten enough love and attention Completely untrue of me Describes me perfectly For the most part, I haven't had someone to depend on for advice and emotional support Completely untrue of me Describes me perfectly For much of my life, I haven't had someone who wanted to get close to me and spend a lot of time with me. Completely untrue of me Describes me perfectly For much of my life, I haven't felt that I am special to someone. Completely untrue of me Describes me perfectly I have rarely had a strong person to give me sound advice or direction when I'm not sure what to do. Completely untrue of me Describes me perfectly I worry that people I feel close to will leave me or abandon me. Completely untrue of me Describes me perfectly I don't feel that important relationships will last; I expect them to end. Completely untrue of me Describes me perfectly I feel addicted to partners who can't be there for me in a committed way. Completely untrue of me Describes me perfectly I become upset when someone leaves me alone, even for a short period of time. Completely untrue of me Describes me perfectly I can't let myself get very close to other people, because I can't be sure they'll always be there. Completely untrue of me Describes me perfectly The people close to me have been very unpredictable: one moment they're available and nice to me; the next, they're angry, upset, self-absorbed, fighting, etc. Completely untrue of me Describes me perfectly I need other people so much that I worry about losing them. Completely untrue of me Describes me perfectly I can't be myself or express what I really feel, or people will leave me. Completely untrue of me Describes me perfectly I feel that I cannot let my guard down in the presence of other people, or else they will intentionally hurt me. Completely untrue of me Describes me perfectly It is only a matter of time before someone betrays me. Completely untrue of me Describes me perfectly I have a great deal of difficulty trusting people. Completely untrue of me Describes me perfectly I set up "tests" for other people, to see if they are telling me the truth and are well-intentioned. Completely untrue of me Describes me perfectly I subscribe to the belief: "Control or be controlled." Completely untrue of me Describes me perfectly I'm fundamentally different from other people. Completely untrue of me Describes me perfectly I don't belong; I'm a loner. Completely untrue of me Describes me perfectly I always feel on the outside of groups. Completely untrue of me Describes me perfectly No one really understands me. Completely untrue of me Describes me perfectly I sometimes feel as if I'm an alien. Completely untrue of me Describes me perfectly No one I desire would want to stay close to me if he/she knew the real me. Completely untrue of me Describes me perfectly I am inherently flawed and defective. Completely untrue of me Describes me perfectly I feel that I'm not lovable. Completely untrue of me Describes me perfectly I am too unacceptable in very basic ways to reveal myself to other people. Completely untrue of me Describes me perfectly When people like me, I feel I am fooling them. Completely untrue of me Describes me perfectly I cannot understand how anyone could love me. Completely untrue of me Describes me perfectly Almost nothing I do at work (or school) is as good as other people can do. Completely untrue of me Describes me perfectly Most other people are more capable than I am in areas of work (or school) and achievement. Completely untrue of me Describes me perfectly I'm a failure. Completely untrue of me Describes me perfectly I'm not as talented as most people are at their work (or at school). Completely untrue of me Describes me perfectly I often feel embarrassed around other people, because I don't measure up to them in terms of my accomplishments. Completely untrue of me Describes me perfectly I often compare my accomplishments with others and feel that they are much more successful. Completely untrue of me Describes me perfectly I do not feel capable of getting by on my own in everyday life. Completely untrue of me Describes me perfectly I believe that other people can take of me better than I can take care of myself. Completely untrue of me Describes me perfectly I have trouble tackling new tasks outside of work unless I have someone to guide me. Completely untrue of me Describes me perfectly I screw up everything I try, even outside of work (or school). Completely untrue of me Describes me perfectly If I trust my own judgment in everyday situations, I'll make the wrong decision. Completely untrue of me Describes me perfectly I feel that I need someone I can rely on to give me advice about practical issues. Completely untrue of me Describes me perfectly I find the responsibilities of everyday life overwhelming. Completely untrue of me Describes me perfectly I feel that a disaster (natural, criminal, financial, or medical) could strike at any moment. Completely untrue of me Describes me perfectly I worry about being attacked. Completely untrue of me Describes me perfectly I take great precautions to avoid getting sick or hurt. Completely untrue of me Describes me perfectly I worry that I'm developing a serious illness, even though nothing serious has been diagnosed by a physician. Completely untrue of me Describes me perfectly I worry a lot about the bad things happening in the world: crime, pollution, etc. Completely untrue of me Describes me perfectly I feel that the world is a dangerous place. Completely untrue of me Describes me perfectly My parent(s) and I tend to be over involved in each other's lives and problems. Completely untrue of me Describes me perfectly It is very difficult for my parent(s) and me to keep intimate details from each other, without feeling betrayed or guilty. Completely untrue of me Describes me perfectly My parent(s) and I must speak to each other almost every day, or else one of us feels guilty, hurt, disappointed, or alone. Completely untrue of me Describes me perfectly I often feel that I do not have a separate identity from my parents or partner. Completely untrue of me Describes me perfectly It is very difficult for me to maintain any distance from the people I am intimate with; I have trouble keeping any separate sense of myself. Completely untrue of me Describes me perfectly I often feel that I have no privacy when it comes to my parent(s) or partner. Completely untrue of me Describes me perfectly I feel that my parent(s) are, or would be, very hurt about my living on my own, away from them. Completely untrue of me Describes me perfectly I believe that if I do what I want, I'm only asking for trouble. Completely untrue of me Describes me perfectly In relationships, I let the other person have the upper hand. Completely untrue of me Describes me perfectly I've always let others make choices for me, so I really don't know what I want for myself. Completely untrue of me Describes me perfectly I worry a lot about pleasing other people, so they won't reject me. Completely untrue of me Describes me perfectly I will go to much greater lengths than most people to avoid confrontations. Completely untrue of me Describes me perfectly I give more to other people than I get back in return. Completely untrue of me Describes me perfectly I'm the one who usually ends up taking care of the people I'm close to. Completely untrue of me Describes me perfectly No matter how busy I am, I can always find time for others. Completely untrue of me Describes me perfectly I've always been the one who listens to everyone else's problems. Completely untrue of me Describes me perfectly Other people see me as doing too much for others and not enough for myself. Completely untrue of me Describes me perfectly No matter how much I give; I feel it is never enough. Completely untrue of me Describes me perfectly I worry about losing control of my actions. Completely untrue of me Describes me perfectly I worry that I might seriously harm someone physically or emotionally if my anger gets out of control. Completely untrue of me Describes me perfectly I feel that I must control my emotions and impulses, or something bad is likely to happen. Completely untrue of me Describes me perfectly A lot of anger and resentment build up inside of me that I don't express. Completely untrue of me Describes me perfectly I am too self-conscious to show positive feelings to others (e.g., affection, showing I care). Completely untrue of me Describes me perfectly I find it embarrassing to express my feelings to others. Completely untrue of me Describes me perfectly I find it hard to be warm and spontaneous. Completely untrue of me Describes me perfectly I control myself so much that people think I am unemotional. Completely untrue of me Describes me perfectly People see me as uptight emotionally. Completely untrue of me Describes me perfectly I must be the best at most of what I do; I can't accept second best. Completely untrue of me Describes me perfectly I strive to keep almost everything in perfect order. Completely untrue of me Describes me perfectly I have so much to accomplish that there is almost no time to really relax. Completely untrue of me Describes me perfectly I must meet all my responsibilities. Completely untrue of me Describes me perfectly I often sacrifice pleasure and happiness to meet my own standards. Completely untrue of me Describes me perfectly I can't let myself off the hook easily or make excuses for my mistakes. Completely untrue of me Describes me perfectly I always must be Number One, in terms of my performance. Completely untrue of me Describes me perfectly I have a lot of trouble accepting "no" for an answer when I want something from other people. Completely untrue of me Describes me perfectly I hate to be constrained or kept from doing what I want. Completely untrue of me Describes me perfectly I feel that I shouldn't have to follow the normal rules and conventions other people do. Completely untrue of me Describes me perfectly I often find that I am so involved in my own priorities that I don't have time to give to friends or family. Completely untrue of me Describes me perfectly People often tell me I am very controlling about the ways things are done. Completely untrue of me Describes me perfectly I can't tolerate other people telling me what to do. Completely untrue of me Describes me perfectly I can't seem to discipline myself to complete routine or boring tasks. Completely untrue of me Describes me perfectly Often I allow myself to carry through on impulses and express emotions that get me into trouble or hurt other people. Completely untrue of me Describes me perfectly I get bored very easily. Completely untrue of me Describes me perfectly When tasks become difficult, I usually cannot persevere and complete them. Completely untrue of me Describes me perfectly I can't force myself to do things I don't enjoy, even when I know it's for my own good. Completely untrue of me Describes me perfectly I have rarely been able to stick to my resolutions. Completely untrue of me Describes me perfectly I often do things impulsively that I later regret. Completely untrue of me Describes me perfectly It is important to me to be liked by almost everyone I know. Completely untrue of me Describes me perfectly I change myself depending on the people I’m with, so they’ll like me more. Completely untrue of me Describes me perfectly My self-esteem is based mostly on how other people view me. Completely untrue of me Describes me perfectly Even if I don’t like someone, I still want him or her to like me. Completely untrue of me Describes me perfectly Unless I get a lot of attention from others, I feel less important. Completely untrue of me Describes me perfectly You can’t be too careful; something will almost always go wrong. Completely untrue of me Describes me perfectly I worry that a wrong decision could lead to disaster. Completely untrue of me Describes me perfectly I often obsess over minor decisions, because the consequences of making a mistake seem so serious. Completely untrue of me Describes me perfectly I feel better assuming things will not work out for me, so that I don’t feel disappointed if things go wrong. Completely untrue of me Describes me perfectly I tend to be pessimistic. Completely untrue of me Describes me perfectly If people get too enthusiastic about something, I become uncomfortable and feel like warning them of what could go wrong. Completely untrue of me Describes me perfectly If I make a mistake, I deserve to be punished. Completely untrue of me Describes me perfectly There is no excuse if I make mistake. Completely untrue of me Describes me perfectly If I don’t do the job, I should suffer the consequences. Completely untrue of me Describes me perfectly It doesn’t matter why I make a mistake; when I do something wrong, I should pay the price. Completely untrue of me Describes me perfectly I’m a bad person who deserves to be punished. Completely untrue of me Describes me perfectly People who don’t “pull their own weight” should get punished in some way. Completely untrue of me Describes me perfectly Most of the time, I don’t accept the excuses other people make. They’re just not willing to accept responsibility and pay the consequences. Completely untrue of me Describes me perfectly I hold grudges, even after someone has apologized. Completely untrue of me Describes me perfectly I get angry when people make excuses for themselves or blame other people for their problems. Completely untrue of me Describes me perfectly Name Email Previous Start Quiz Next Time's up http://awakeningtruth.org/wp-content/uploads/2023/06/logo-300x237.png 0 0 at-admin http://awakeningtruth.org/wp-content/uploads/2023/06/logo-300x237.png at-admin2025-02-02 13:19:512025-02-03 19:07:53Schema Questionnaire
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