Recovery Potential Survey

Check the word that most applies to how you truly feel
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1. Do you seek approval and affirmation? Never Seldom Occasionally Often Usually
2. Do you fail to recognize your accomplishments? Never Seldom Occasionally Often Usually
3. Do you fear criticism? Never Seldom Occasionally Often Usually
4. Do you overextend yourself? Never Seldom Occasionally Often Usually
5. Have you had problems with your own compulsive behavior? Never Seldom Occasionally Often Usually
6. Do you have a need for perfection? Never Seldom Occasionally Often Usually
7. Are you uneasy when you life is going smoothly? Do you constantly anticipate problems? Never Seldom Occasionally Often Usually
8. Do you feel more alive in the midst of a crisis? Never Seldom Occasionally Often Usually
9. Do you care for others easily, yet find it difficult to care for yourself? Never Seldom Occasionally Often Usually
10. Do you isolate yourself form others? Never Seldom Occasionally Often Usually
11. Do you respond with anxiety to authority figures and angry people? Never Seldom Occasionally Often Usually
12. Do you feel that individuals and society in general are taking advantage of you? Never Seldom Occasionally Often Usually
13. Do you have trouble with intimate relationships? Never Seldom Occasionally Often Usually
14. Do you attract and seek people who tend to be compulsive? Never Seldom Occasionally Often Usually
15. Do you cling to relationships because you are afraid of being alone? Never Seldom Occasionally Often Usually
16. Do you often mistrust your own feelings and the feelings expressed by others? Never Seldom Occasionally Often Usually
17. Do you find it difficult to express your emotions? Never Seldom Occasionally Often Usually
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Never: Seldom: Occasionally: Often: Usually:

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If you answered "occasionally," "often," or "usually" to any of these questions, you may find it useful to continue below.
(These questions are modified from Al-Anon Family Group, 1984, with permission.)



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Other Questions to Consider Are:
18. Do you fear any of the following?
  • Losing Control?
  • Your own feelings?
  • Conflict and criticism?
  • Being Rejected or abandoned?
  • Being a failure?
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Never Seldom Occasionally Often Usually

Never Seldom Occasionally Often Usually

Never Seldom Occasionally Often Usually

Never Seldom Occasionally Often Usually

Never Seldom Occasionally Often Usually
19. Is it difficult for you to relax and have fun? Never Seldom Occasionally Often Usually
20. Do you find yourself compulsively eating, working, drinking, using drugs, or seeking excitement? Never Seldom Occasionally Often Usually
21. Have you tried counselling or psychotherapy, yet still feel that "something" is wrong or missing? Never Seldom Occasionally Often Usually
22. Do you frequently feel numb, empty, or sad? Never Seldom Occasionally Often Usually
23. Is it hard for you trust others? Never Seldom Occasionally Often Usually
24. Do you have an over-developed sense of responsibility? Never Seldom Occasionally Often Usually
25. Do you feel a lack of fulfillment in life, both personally and in your work? Never Seldom Occasionally Often Usually
26. Do you have feelings of guilt, inadequacy or low self-esteem? Never Seldom Occasionally Often Usually
27. Do you have a tendency toward having chronic fatigue, aches and pains? Never Seldom Occasionally Often Usually
28. Do you find that it is difficult to visit your parents for more than a few minutes or a few hours? Never Seldom Occasionally Often Usually
29. Are you uncertain about how to respond when people ask about your feelings? Never Seldom Occasionally Often Usually
30. Have you ever wondered if you might have been mistreated, abused, or neglected as a child? Never Seldom Occasionally Often Usually
31. Do you have difficulty asking for what you want with others? Never Seldom Occasionally Often Usually

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Never: Seldom: Occasionally: Often: Usually:
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If you answered "Occasionally," "Often," or "Usually" to may of these questions, my book, Healing The Child Within may be helpful to you.
Recovery work through an Adult Child group, Twelve-Step group, Group or individual therapy may also be helpful.
You can see a list of worldwide recovery options HERE.
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Content copyright (c) 2003, 2009 Charles L. Whitfield. All Rights Reserved

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