1 of 20: How often do you turn to substances when feeling overwhelmed or stressed?
*
Always
Often
Sometimes
Rarely
Never
2 of 20: How frequently do you feel like you're trying to numb or escape from something painful inside?
*
Always
Often
Sometimes
Rarely
Never
3 of 20: When you experience emotional pain, do you feel like you’re unable to cope, similar to how you felt as a child?
*
Always
Often
Sometimes
Rarely
Never
4 of 20: How often have you struggled with feelings of abandonment or neglect growing up?
*
Always
Often
Sometimes
Rarely
Never
5 of 20: Do you regularly doubt your worth or feel like you're not enough, no matter how hard you try?
*
Always
Often
Sometimes
Rarely
Never
6 of 20: How frequently do you find yourself repeating unhealthy patterns (like using substances) despite knowing they hurt you?
*
Always
Often
Sometimes
Rarely
Never
7 of 20: Do you feel like you never really learned how to take care of yourself emotionally as a child?
*
Always
Often
Sometimes
Rarely
Never
8 of 20: When something triggers your trauma, how often do you turn to substances to cope?
*
Always
Often
Sometimes
Rarely
Never
9 of 20: How often do you feel like a substance was the only thing that could make you feel better, even temporarily?
*
Always
Often
Sometimes
Rarely
Never
10 of 20: Do you struggle with feeling emotionally safe in relationships, often seeking approval from others?
*
Always
Often
Sometimes
Rarely
Never
11 of 20: How often do you find yourself feeling like you’ve had to grow up too fast and take care of others, neglecting your own needs as a child?
*
Always
Often
Sometimes
Rarely
Never
12 of 20: Have you had memories of being treated unfairly or harshly by a caregiver or significant adult in your life?
*
Always
Often
Sometimes
Rarely
Never
13 of 20: How often do you feel like you’re still trying to prove your worth to others, even as an adult?
*
Always
Often
Sometimes
Rarely
Never
14 of 20: Do you sometimes feel that you don't deserve to be happy or successful?
*
Always
Often
Sometimes
Rarely
Never
15 of 20: How frequently do you feel disconnected from your true self or struggle with your sense of identity?
*
Always
Often
Sometimes
Rarely
Never
16 of 20: Do you find it difficult to set boundaries, even when you know it’s essential for your well-being?
*
Always
Often
Sometimes
Rarely
Never
17 of 20: How often do you feel the need to please others, even at the expense of your own needs?
*
Always
Often
Sometimes
Rarely
Never
18 of 20: Do you have a pattern of staying in unhealthy relationships, even when you know it’s damaging?
*
Always
Often
Sometimes
Rarely
Never
19 of 20: How often do you feel emotionally triggered by situations that seem insignificant to others?
*
Always
Often
Sometimes
Rarely
Never
20 of 20: How often do you feel emotionally triggered by situations that seem insignificant to others?
*
Always
Often
Sometimes
Rarely
Never
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Email
*