Name*

First Last

Email*

Sees themselves as cursed with bad luck, envies and is threatened by the success of others, thinking it reduces chances.*

Doesn’t really know how to be happy; views themselves as generally incapable.*

Sees success only in monetary terms, doesn’t feel hopeful about any real success in the future.*

Focuses on what’s missing and how there’s never enough - both in their personal experience and in the world at large.*

Believes the world is an empty, hopeless place.*

Sees himself, his abilities, and his worthiness as limited and doesn’t expect things to change in the future.*

Sees the world as threatening and unsafe; believes that he won’t be able to handle it.*

Always tries to anticipate problems out of a need to control the outcome and prevent disaster.*

Often feels suspicious and feels the need to be defensive.*

Is passive around others, seldom setting boundaries; is usually willing to sacrifice his own needs in order to please the people around him.*

Feels that everyone should be looking out for themselves or be on guard. Is ego driven and full of anger and stress.*