Life Experiences & Patterns Assessment

For each item, consider how often the statement reflects your experience and select the response that best fits. Use the scale provided in the drop down, where:

Never means the statement does not apply to you at all

Rarely means it happens infrequently

Sometimes means it occurs on occasion

Often means it happens regularly

Very Often means it is a consistent or frequent experience

Try to answer based on your typical patterns rather than focusing on isolated situations.

PART 1: Life Experiences

Experiences you may have had from birth to young adulthood

How often did you experience frequent criticism or subtle put-downs growing up?

How often did you feel your emotional needs were ignored or minimized?

How often were your feelings dismissed (e.g., “too sensitive”)?

How often were you exposed to ongoing conflict in your home?

How often did a caregiver act in a controlling or rigid way?

How often did a caregiver act in emotionally self-focused or manipulative ways?

How often did your family lack clear or healthy boundaries?

How often did you experience rejection, exclusion, or bullying?

How often did you experience subtle invalidation from others?

How often did you feel pressure to act a certain way (e.g., hide emotions)?

How often did your sense of worth feel tied to performance or achievement?

How often did you experience manipulation or subtle control in relationships?

How often did you experience broken trust in close relationships?

How often did you feel like you didn’t have a voice or choice?

How often were high expectations placed on you?

How often did you feel like you had to earn love or approval?

How often did you feel unseen, misunderstood, or emotionally alone?

How often did you prioritize others’ needs over your own?

PART 2: Current Patterns

Patterns you may notice in yourself today

How often do you have difficulty identifying or expressing your emotions?

How often do you feel emotionally numb or disconnected?

How often are you self-critical or harsh toward yourself?

How often do you feel “not enough” or lacking worth?

How often do you struggle to be compassionate toward yourself?

How often do you feel overwhelmed or constantly stressed?

How often do you feel helpless or discouraged?

How often do you take things personally?

How often do you feel judged by others?

How often do you expect negative outcomes in relationships?

How often do you experience persistent self-doubt?

How often do you hold yourself to very high standards?

How often are you preoccupied with what others think of you?

How often do you replay or rehearse conversations in your mind?

How often do you have difficulty trusting others?

How often do you fear closeness or rejection?

How often do you prioritize others’ needs over your own?

How often do you struggle to set boundaries?

How often do you withdraw from relationships to avoid discomfort?

How often do you avoid vulnerability or emotional openness?

How often do you rely heavily on logic instead of emotion?

How often do you have difficulty expressing your needs?

How often do you shut down during conflict?

How often do you feel on edge or overly alert?

How often do you feel easily overwhelmed in interactions?

How often do you have difficulty calming down after stress?

How often do you have trouble sleeping after emotional situations?

How often do you feel a strong need for control?

How often do you have difficulty asking for help?

How often do you seek reassurance or validation from others?

Once you’ve completed all of the questions, please provide your name and email below, then click Submit to finish.

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