Do you sometimes find it difficult to communicate freely or be yourself in certain situations?
True		False

Do you ever feel that you could be happier or more successful in your job?
True		False

Do you ever suffer from stress, or feel up one day and down the next?
True		False

Do you feel you sometimes lack confidence and/or self-esteem?
True		False

Do you feel as if you could be more alert and energetic towards life?
True		False

Do you ever feel as if you have no direction, purpose or goal in life?
True		False

Do you often feel tired or lifeless for no apparent reason?
True		False

Do you get ill fairly often?
True		False

Are you struggling to keep a relationship together?
True		False

Do you feel as if you are wasting your potential?
True		False

Do you believe you can be in control of your life?
True		False

Have you ever suffered from depression?
True		False

Do you sometimes feel anxious towards life?
True		False

Would you consider yourself shy or introverted?
True		False

Do you often feel irritated or exhausted at work?
True		False

Do you have any unwanted compulsions, aches, pains and emotions?
True		False

Do you often get colds or flu?
True		False