Feelings, beliefs and attitudes |
These answers will help me to see if there is any relationship between your feelings, beliefs and attitudes and your experiences in the womb.
Read each statement carefully and decide how true it is for you today. Then chose a number between 4 (true) and 1 (untrue) and check the box for that number that express how true the statement is. If any statement was once true but no longer applies, check "no longer."
| 4
true | 3 | 2 | 1 | 0
untrue | No longer |
I suffer from depression | | | | | | |
I have a problem with food and eating | | | | | | |
I fear abandonment | | | | | | |
I fear rejection | | | | | | |
I have wanted to commit suicide more than once in my life | | | | | | |
I am afraid of being alone in the dark | | | | | | |
I have been searching for something all my life but I don’t know what it is | | | | | | |
I get very intense and involved at the start of a relationship but then I sabotage it somehow | | | | | | |
I am female but I have a strong male side | | | | | | |
I am male but I have a strong female side | | | | | | |
I frequently feel unable to cope with life | | | | | | |
I grieve deeply and for a very long time after someone close to me, or a beloved pet, has died | | | | | | |
Deep down, I feel very vulnerable, as it would not take much to totally annihilate me as an individual | | | | | | |
I am easily bored | | | | | | |
I think a lot about death and dying | | | | | | |
I am addicted to substances or behaviours that are potentially damaging to my health, wealth or well being | | | | | | |
All my life I have been "putting on a show," pretending to be someone else, and I know its not my authentic self | | | | | | |
I feel the pain of others as if it were my own | | | | | | |
Deep down, I feel alone, even when I am among friends | | | | | | |
I easily get into a love/hate relationship with individuals I want to get close to | | | | | | |
It upsets me if I am unable to reduce the suffering of others (please give details in the box below) | | | | | | |
I often find it difficult to fall asleep, even when I am very tired | | | | | | |
I know I do no rest enough | | | | | | |
There are two very different sides to my character | | | | | | |
All my life I have felt as if something is missing | | | | | | |
I spend a lot of time talking to myself in a mirror | | | | | | |
I find disappointment very painful | | | | | | |
I think I am psychic | | | | | | |
I am a perfectionist | | | | | | |
I find it hard to forgive people who have hurt me | | | | | | |
I have been in an exploitative relationship with another person | | | | | | |
All my life I have felt empty inside | | | | | | |
I don't let other people get close to me | | | | | | |
I am paranoid | | | | | | |
I feel driven by "musts" and "shoulds" | | | | | | |
I am dyslexic ( please explain in box below) | | | | | | |
I get extremely upset about silly little things(please explain in the box below) | | | | | | |
I feel different from other people | | | | | | |
I feel guilty about everything | | | | | | |
I always feel in some way unsatisfied, but I dont know why | | | | | | |
I know I am not realising my true potential | | | | | | |
I have strong, inner imaginary life that I use as a coping mechanism | | | | | | |
Deep down, I somehow know I experienced death before I was born | | | | | | |
I find it hard to let go of unfinished projects: I am always going to finish them one day | | | | | | |
I have a strange, irrational feeling that somehow "I don't exist" or "I'm not really here". | | | | | | |
I feel very privileged, simply to be alive | | | | | | |
There is at least one room (including shed or garage) in my home that is completely full of stuff | | | | | | |
I generally lack energy and motivation | | | | | | |
I have a problem with expressing anger - either there is too much or too little | | | | | | |
I suffer from low self esteem | | | | | | |
I often feel torn in two between two decisions | | | | | | |
I have suffered for a long time from feeling vaguely unwell, as if I am slowly dying (please give details) | | | | | | |
I make a lot of effort to protect my privacy | | | | | | |
I am so intuitive and empathetic that it is a problem for me | | | | | | |
All my life I have felt restless and unsettled | | | | | | |
All my life I have carried deeply felt emotional pain that persists, despite all my efforts to heal myself | | | | | | |
I have a deep desire to heal the world and everyone in it | | | | | | |
I feel guilty about being alive at all | | | | | | |
I compulsively self harm ( please give details in the box below) | | | | | | |
I want to succeed in life, but I always end up somehow sabotaging my chances of success | | | | | | |
PLEASE USE THE BOX BELOW TO TELL YOUR STORY OR PROVIDE MORE INFORMATION |
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Name
E-mail address for reply:
Please note that this form can remain anonymous, if that is what you prefer. I make a personal response to every form where an address is given. If you do not receive a reply within two weeks, this may mean that your email address did not work, so try again or email me with your story; |
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Disclaimer
Althea Hayton accepts no responsibility for the consequences of error or for any loss or damage suffered by users of any of the information and material contained on this website or any site you may access through this site.
Materials contained on this website are subject to copyright and other proprietary rights. For permissions or in the event of any complaint please write on headed note paper to: Althea Hayton, Womb Twin Reserach Project, PO Box 396, St Albans, Herts, AL3 6NE |
Copyright Althea Hayton 2009
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