Belief Scan™
Name
*
First Name
Last Name
Email
*
example@example.com
When someone is upset, I feel…
*
Responsible to fix it
Like I did something wrong
Like I should stay quiet
Like I just shut down
Like I disappointed them
When I have a need, I usually…
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Ignore it
Worry it’s too much
Wait for someone to notice
Feel uncomfortable asking
Don’t even know what I need
Growing up, I felt safest when I was…
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Helping or fixing others
Being good and following rules
Staying out of the way
Being useful
Not needing anything
I struggle most with…
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Feeling seen and heard
Resting without guilt
Asking for help
Letting go of perfection
Feeling my emotions
Which belief feels most true for you?
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If I don’t help, something will fall apart.
If I’m not needed, I’m not worthy.
If I’m quiet, I’ll be safe
Letting go of perfection
Feeling my emotions
Which belief block describes you best?
*
Fixer
Overgiver
Invisible One
Good Girl
Survivor
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