Emotional Self-Test

EMOTIONAL SELF-TEST: BACH FLOWER QUESTIONNAIRE

The following questionnaire was developed from the original writings of Edward Bach M.D and is provided for your interest and self- assessment.

Instructions:

Print this questionnaire
Please read and answer each of the questions by placing a check ( ) on the line proceeding the question.
Check ( ) only those questions for which an answer is YES.
Add up the check marks by sections: 0-10, 10-20, 20-30, etc.

**For best results, complete this test when feeling distressed.

____ 1. Do you have vague fears which you cannot explain?

____ 2. Do you often find your self distressed and anxious, but unable to put your finger on the problem?

____ 3. Do you wake with a sense of apprehension and foreboding, feeling that something maybe happen, but don’t know what may be?

____4. Do you have specific fears you can identify and would like to overcome?

____5. Are you shy and easily frightened by particular circumstances and things?

____6. When face with situations or things that frighten you, do you become nervous and too paralyzed to act?

____7. Do you fear losing control of your mind and body?

____8. Are you compulsive, or have impulses to do things you know are wrong but have difficulty controlling your actions?

____9. Do you fear losing control and hurting your self or others?

____10. Do you worry over the health and safety of your friends and family?

____11. Do you fear that something may happen to those close to you?

____12. Does your over- concern and worry for others cause you considerable distress?

____13. Do you suffer from extreme terror?

____14. Do you tend to panic and become hysterical?

____15. Are you troubled by nightmares?

____16. Do you lack confidence in your ability to judge things on your own and make decisions?

____17. Do you find yourself asking other people’s advice, even you know what you want?

____18. After taking advice from others, do you find yourself confused by the choices, constantly changing your mind or direction according to the latest recommendations?

____19. Do you suffer from indecision, uncertainty or hesitancy?

____20. Do you have difficulty choosing between one things and another?

____21. Do you experience extreme mood swings, or have difficulty in keeping your balance?

____22. Are you dissatisfied with your current role in life, feeling that life is passing you by?

____23. Have you tried many different directions in life, but nothings seems to bring satisfaction?

____ 24. Would you like find a new lifestyle, career or change your old one, but have difficulty deciding what you should be doing?

____25. Do you lack of confidence?

____26. Do you not try things for fear of failing?

____27. Do you feel inferior, and that others are more capable and qualified than you?

____28. On rising in the morning , do you find yourself tired, not wanting to get up?

____29. Do you feel some part of you needs to be strengthened before you can tackle the day?

____30. Do you find once you have started your daily activities your tiredness is forgotten, and you’re able to complete the task?

____31. Are you absentminded, or does your attention easily wander, making difficult to concentrate?

____32. Do you find you have little interest in present circumstances, often daydreaming, wishing you were somewhere else?

____33. Do you find your self dozing off frequently , regardless of where you are?

____34. Do you find you are caught between living in the present and dwelling in memories of the past?

____35. Are there things you would like to have done with your life but never had the opportunity to do?

___ 36. Do you find your self reminiscing about the good old days, wishing you were able to live over again?

____37. Do you find you are indifferent and apathetic towards life?

____38. Are you resigned to your current circumstances, making little effort to improve things or find joy?

____39. Do you feel you’ve given up and don’t care one way or another what happens?

____40. Are you troubled by persistent unwanted thoughts?

____41. Do you worry or have mental arguments which circle round in your mind?

____42. Do you have difficulty sleeping due to mental chatter and worries?

____43. Do you find you don’t learn from past experience, repeating the same mistakes or patterns of behavior?

____44. Due to lack of observation, do you find it necessary to go over things already done?

____45. Is there a particular situation or condition continually recurring in your life which you would like to overcome?

____46. Are you now going through, or have recently gone through, an illness or personal ordeal which left you physically and mentally drained?

____47. Do you tire easily with no reserve energy to complete your task or enjoy the day?

____48. Do you feel sapped of strength and vitality, where even the least effort exhaust you ?

____49. Do other find you aloof, prideful and at times condescending?

____50. Do you keep to your self, not wishing to interfered with or to interfere in other’s people affairs?

____51. Are you self-reliant and prefer spending your time alone?

____52. Do you find yourself losing patient, becoming tense and irritable with people and things that move too slowly for you?

____53. Do you things in a rush, racing from one place or situation to another?

____54. Do you find you need to work alone, because others can’t keep up to your pace?

____55. Do you find others avoiding conversation with you because you tend to talk a great deal?

____56. Do you dislike being alone and seek the company of any one willing to listen to your troubles?

____57. Do you feel the need to steer conversation back to your special interest or problems, and are reluctant to discontinue them even when the listener has to leave?

____58. Do you try to have a “ stiff upper lip” and make a light of even the most trying circumstances?

____59. Do you go out of your way to avoid burdening others with your problems, give into the wishes of others in order to avoid and argument or quarrels?

____60. When troubled, do find your self drinking alcohol or using stimulants or other drugs to assist in keeping up a happy disposition?

____61. Are you easily imposed on because of your willingness to help others?

____62. Is it difficult for you to say NO when you’re asked for help, becoming more a servant than a willing helper?

____63. Do you neglect your own needs, because you are too busy taking care of other people’s need?

____64. Are you involved in a relationship or situation you would like to be free of but cannot break away from?

____65. Are you currently in a state of transition or change?

____66. In the midst of this change, do you find that you’re having difficulty in letting go of past attachments or in starting new beginnings?

____67. Are you suspicious and mistrusting of others people motives and intentions?

____68. Do you find you spiteful, envious, jealous or vengeful?

____69. Do you find yourself lacking compassion or warmth towards others?

____70. Are you rarely content with your accomplishments, feeling that you could always do better?

___71. Do you blame your self for others people mistakes, feeling that their shortcomings are in some way your fault or responsibility?

____72. Are you hard on your self when you fail to live up to the standards or expectation you’ve set for yourself?

____73. Do you tend to overextend your commitments?

____74. Do you find yourself overwhelmed by your work, and despite being capable feel you have taken on more than you can do?

____75. Do you become despondent when faced with the magnitude of your responsibilities?

____76. Have there been past traumas or shock in your life, which you may not have completely recovered from?

____77. Do you feel a past surgery or accident is responsible for your present condition?

____78. Have you recently, or in the past, suffered a personal loss which you haven’t quite gotten over?

____79. Do you feel that very “ soul” is suffering destruction or being annihilated?

____80. Do you suffer from mental anguish and deep despair?

____81. Do you feel that the burden of your life is more than you can bear?

____82. Have you lost hope that you will recover from or be helped in overcoming an illness or difficulty?

____83. Do you feel it is useless to seek further help for your problems?

____84. Have you given up hope that things will change for the better in some circumstances or situation in your life?

____85. Do ever become gloomy and depressed for known reason?

____86. Does this depression envelope you like a dark cloud, hiding the joy of life?

____87. Do you find this gloom and depression , for no apparent reason, lifts as suddenly as it comes?

___88. Are you easily discouraged when things don’t go your way?

____89. When setting out to accomplish a task, do you become over-sensitive to small delays and hindrances which may lead to self-doubt, and at times to depression?

____90. Is it hard for you to start over agin once you’ve encountered difficulties?

____91. Are you one who tirelessly struggles on despite opposition and delays?

____92. Can you always dependent on to complete what you set out to do, regardless of the challenge?

____93. Do you tend to throw your self into your projects neglecting your own needs, as well as the needs of those close to you?

____94. Through no fault of your own, do you feel that life has been unfair or unjust to you?

____95. Have you become resentful and bitter towards those who may have treated you poorly?

____96. Despite all you have done, do you feel your best efforts have largely gone unrewarded, while others not as deserving as yourself, have gained?

____97. Do you feel unclean or ashamed over and act you should not have committed, or over someone or something having violated you personally?

____98. Do you find yourself preoccupied with small physical problems such as pimples, small blemishes or rashes, while overlooking more serious conditions?

____99. Do you feel there is something wrong with, or some things you would liked changed, in your physical appearance?

____100. Are you compulsive about cleanliness, even at times to the extreme?

____101. Are you afraid of becoming, or feel you have already become, contaminated and need to be cleansed?

____102. Do you want to keep your love ones close to you and help them by directing their l Lives?

____103. Do you feel you are not appreciated by those you care for?

____104. Do you find your self needing the attention and devotion of those you love, feeling it’s their duty to stay in close contact with you?

____ 105. When assessing people and situation, do look for what you can find wrong?

____106. Do the small habits and idiosyncracies of other bothers you?

____107. Are you critical and intolerant of those who don’t measure up to your standards of expectation?

____108. Do you have strong opinion which you attempt to convince others are right?

____109. Are you easily incensed by injustices, arguing for and defending principles which you believe in?

____110. Are you high- strung, at times tense and over enthusiastic , always teaching and philosophizing?

____111. Do you feel you have a mission in life to conform with or live up to?

____112. Are you strict in your adherence to a religious or social discipline or in a particular way of living?

____113. Do you feel it’ s important to make an example of yourself by living up to your ideal’s so that others may follow?

____114. Do you tend to take charge in circumstances and situation you’re involved with?

____115. Are you strong -willed and expect complete obedience ( with out question) from those around you?

____116. Do you consider yourself a “ born leader” ?

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