Self-Assessment

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

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