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Welcome, Brother!
This short quiz contains statements about how you treat yourself — a small window into your inner life. Your answers will help me understand whether the Men’s Transformation Program is the right fit for you.
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1
Name
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
This is strictly used so you can receive a text reminder for our possible call together
Area Code
Phone Number
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4
Country
*
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5
I feel a sense of guilt when I try and relax, having thoughts like "
I should be productive
" or "
this isn't a good use of time
"
*
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Almost Never
Sometimes
Often
Almost Always
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6
I find it hard to be proud of myself and celebrate my wins, no matter how big or small
*
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Almost Never
Sometimes
Often
Almost Always
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7
As a man, I feel like I should be stoic, using more reason and logic in decision making
*
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Almost Never
Sometimes
Often
Almost Always
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8
I focus on things I don't have, rather than being grateful for what I do have in the moment
*
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Almost Never
Sometimes
Often
Almost Always
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9
When I fail at something important to me, I become consumed by feelings of inadequacy (not being good enough)
*
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Almost Never
Sometimes
Often
Almost Always
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10
When I’m feeling down, I tend to feel like other people are probably happier than I am
*
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Almost Never
Sometimes
Often
Almost Always
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11
When I’m feeling down, I tend to obsess and fixate on everything that’s wrong
*
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Almost Never
Sometimes
Often
Almost Always
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12
I feel I'm falling behind in life compared to everyone else
*
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Almost Never
Sometimes
Often
Almost Always
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13
I become envious/self critical of myself when I see others doing well or having something I don't have
*
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Almost Never
Sometimes
Often
Almost Always
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14
I feel like I'm missing something in my life, but I don't know exactly what it is
*
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Almost Never
Sometimes
Often
Almost Always
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15
I want an emotional connection with others to discuss deeper topics, struggles and goals with men
*
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Almost Never
Sometimes
Often
Almost Always
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16
I'm a seeker and looking for something deep and more meaningful in my life
*
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Almost Never
Sometimes
Often
Almost Always
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17
I find it difficult to motivate myself, be disciplined and make progress in certain aspects of my life
*
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Almost Never
Sometimes
Often
Almost Always
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18
I find it difficult to forgive myself for some of the mistakes I've made in the past
*
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Almost Never
Sometimes
Often
Almost Always
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19
Humour (even that dark humour) allows me to cope with difficult times
*
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Almost Never
Sometimes
Often
Almost Always
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20
In the past or currently, I have dealt with depression and/or anxiety
This doesn't have to be an official diagnosis.
Yes
No
Not Sure
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21
How did you discover this quiz?
*
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YouTube
Facebook
Podcast
Email
Instagram
LinkedIn
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22
Are you currently employed full-time?
*
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Yes
No
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