Self Assessment

Download Self Assessment Form in PDF Version

A brief personal exploration to help clarify your situation and consider options for change. You may download a PDF version or use the form below.

Please consider the following 11 questions for any behaviour that concerns you (e.g. substance use, gambling, eating, sex, exercise, internet use, obsessing about a romantic partner, shopping/ spending money, collecting, work).

  • adapted from Najavits 2002

  • If you answered yes to one or more of the questions above, you are acknowledging your behavior has negative consequences.
  • 1 - I don't need change
    10 - Change is critical

  • xBy choosing to submit this assessment, you can expect a personal email response from us.