First Name *

Email *

How often does this behavior show up? *

Rarely

Sometimes

Often

Very Often

Constantly

How much is this affecting your life? *

Minimal

Slight

Moderate

Significant

Severe

How intense is the emotion when this happens? *

Very low

Low

Moderate

High

Very high

How hard is it to control this emotion? *

Easy

Manageable

Challenging

Very difficult

Feels uncontrollable

How long has this been showing up? *

Recently

Months

1–2 years

Several years

As long as I can remember

Does this feel like a repeated pattern in your life? *

No

Slightly

Somewhat

Yes

Definitely

Are you ready to change this now? *

Not really

Maybe

Somewhat

Yes

100% ready

How committed are you to doing what it takes? *

Not committed

Slightly

Moderate

Strong

Fully committed

Performance Score