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something to some
Recently I've felt a persistent sense of sadness, hopelessness, or that things I used to enjoy just don't interest me anymore.
Never
Sometimes
Often
Question 1:
Never
Question 1: Never
Sometimes
Question 1: Sometimes
Often
Question 1: Often
I find myself worrying excessively about future events or situations and my worry is interfering with daily tasks.
Never
Sometimes
Often
Question 2:
Never
Question 2: Never
Sometimes
Question 2: Sometimes
Often
Question 2: Often
I'm struggling in one or more of my relationships (romantic partner, family, friends, colleagues) in ways I can't seem to resolve on my own.
Never
Sometimes
Often
Question 3:
Never
Question 3: Never
Sometimes
Question 3: Sometimes
Often
Question 3: Often
I've experienced or witnessed something traumatic (or several things) that still affects how I think, feel, or relate to others.
Never
Sometimes
Often
Question 4:
Never
Question 4: Never
Sometimes
Question 4: Sometimes
Often
Question 4: Often
I'm going through or have gone through a major life transition (e.g. job change, breakup/divorce, relocation, becoming a parent) and I'm finding it hard to adjust.
Never
Sometimes
Often
Question 5:
Never
Question 5: Never
Sometimes
Question 5: Sometimes
Often
Question 5: Often
My use of alcohol, drugs, or other behaviours feels like a coping mechanism for emotional pain and it worries me.
Never
Sometimes
Often
Question 6:
Never
Question 6: Never
Sometimes
Question 6: Sometimes
Often
Question 6: Often
I often feel stressed or overwhelmed and I'm having difficulty finding healthy ways to manage it.
Never
Sometimes
Often
Question 7:
Never
Question 7: Never
Sometimes
Question 7: Sometimes
Often
Question 7: Often
I feel disconnected from myself, my feelings, or other people, and I'd like to feel more authentic and engaged.
Never
Sometimes
Often
Question 8:
Never
Question 8: Never
Sometimes
Question 8: Sometimes
Often
Question 8: Often
I have identity or orientation-related matters (for example, LGBTQ concerns) that I'd like to explore with someone who understands.
Never
Sometimes
Often
Question 9:
Never
Question 9: Never
Sometimes
Question 9: Sometimes
Often
Question 9: Often
I sense recurring patterns in my life (e.g. in relationships or self-worth) that I can't seem to change even when I want to.
Never
Sometimes
Often
Question 10:
Never
Question 10: Never
Sometimes
Question 10: Sometimes
Often
Question 10: Often
I'm aware that old experiences (childhood, past relationships) are shaping how I respond now and I'd like to understand and change that.
Never
Sometimes
Often
Question 11:
Never
Question 11: Never
Sometimes
Question 11: Sometimes
Often
Question 11: Often
I've lost someone or something important (grief, major change) and I'm not sure how to move forward.
Never
Sometimes
Often
Question 12:
Never
Question 12: Never
Sometimes
Question 12: Sometimes
Often
Question 12: Often
I'd like to feel more resilient and able to trust myself in the face of challenges.
Never
Sometimes
Often
Question 13:
Never
Question 13: Never
Sometimes
Question 13: Sometimes
Often
Question 13: Often
I'm open to talking with someone, being honest, and doing the work to change rather than expecting a quick fix.
Never
Sometimes
Often
Question 14:
Never
Question 14: Never
Sometimes
Question 14: Sometimes
Often
Question 14: Often
I'm unsure what the next step is, whether I need therapy or what kind, and I'd like some guidance.
*
Never
Sometimes
Often
Question 15:
Never
Question 15: Never
Sometimes
Question 15: Sometimes
Often
Question 15: Often
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