Replacing the Lies Spiritual Assessment

Replacing the Lies Spiritual Assessment

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Date Completed*

Date

Please answer the questions below, rating yourself on each of the criteria. As you answer each question, select the single choice that best describes how you have felt and conducted yourself over the past 6 months. *

	Never	Sometimes	Often	Always
1. I feel "bound up" in some areas of my life.
2. I have tried many things, but haven't experienced my "breakthrough".
3. I have a critical voice that runs in my head.
4. I experience instability in my life.
5. I feel like I want to give up.
6. With regard to dating, I have a certain type of guy/girl that I only attract.
7. I have frequent overdrafts in my bank account.
8. I am late paying important bills.
9. I have nightmares.
10. I find myself faking my way through conversations.
11. I have forgiven someone, but it keeps coming back.
12. I feel “less than”.
13. I feel responsible for everything.
14. I don’t like myself.
15. I find myself thinking about dying.
16. I have trouble saying, "No."
17. I experience dread.
18. I am sick often.
19. I sit in one place for a long time unable to do things.
20. My friends take advantage of me.
21. I use things to numb myself or escape life.
22. There has been abuse of some kind in my family lineage.
23. There has been violence of some kind in my family lineage.
24. I think I may use people.
25. There has been addiction in my family lineage.
26. I can get people to do what I want.
27. There is early death in my family lineage.
28. I experienced trauma or an adverse life experience as a child.
29. There are few people I can trust, if any.
30. I think, "Why can't I just be happy?"
31. I find taro cards and psychic readings helpful.
32. I rely on astrology to guide decision making.
33. I find stones or statues beneficial in my life.
34. I can change people.
35. I feel anxious.
36. I feel alone.
37. I have been in psychotherapy but don't see real or lasting change in my life.

Thank you for completing the assessment. Please provide your name and email address to receive feedback on your completed form within 48 hours.

Name*

Email*

MELANIE WALDMAN MINISTRIES

REPLACING THE LIES SPIRITUAL ASSESSMENT

Website: melaniewaldman.com

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