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Self-Compassion Survey Form

  • 1
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    I try to be understanding and patient towards those aspects of my personality I don’t like.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 2
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When something painful happens I try to take a balanced view of the situation.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 3
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    I try to see my failings as part of the human condition.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 4
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When I’m going through a very hard time, I give myself the caring and tenderness I need.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 5
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When something upsets me I try to keep my emotions in balance.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 6
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When I feel inadequate in some way, I try to remind myself that feelings of inadequacy are shared by most people.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 7
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When I fail at something important to me I become consumed by feelings of inadequacy.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 8
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When I’m feeling down, I tend to feel like most other people are probably happier than I am.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 9
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When I fail at something that’s important to me, I tend to feel alone in my failure.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 10
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    When I’m feeling down I tend to obsess and fixate on everything that’s wrong.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 11
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    I’m disapproving and judgmental about my own flaws and inadequacies.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 12
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
    I’m intolerant and impatient towards those aspects of my personality I don’t like.
    Almost Never
    Occasionally
    About Half of the Time
    Fairly Often
    Almost Always
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  • 13
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  • 14
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  • 15
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  • 16
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