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Mental Detox Test
First Name :   *
Last Name :   *
Email :   *
Phone :   *
 
1. I am always in a rush or hurry.   Yes   No *
2 I work harder and harder and accomplish less and less.   Yes   No *
3. I'm spread thin with my time, taking on too many responsibilities and over committing myself.   Yes   No *
4. My time is spread thin leaving me to do more than one thing at a time.   Yes   No *
5. I hurry to do as much as possible in the least amount of time.   Yes   No *
6. I am becoming more and more forgetful with work, home and personal life.   Yes   No *
7. I get tired easily and feel fatigued rather than energetic.   Yes   No *
8. I wake up feeling tired and uneasy about the day ahead of me.   Yes   No *
9. I feel like my life is an emotional ride and have no fun in my daily life.   Yes   No *
10. I feel out of control in my life and find it difficult to face challenges, make decisions and find solutions to problems.   Yes   No *
11. I am becoming frustrated and increasingly impatient with delays and interruptions in my life.   Yes   No *
12. I am becoming more and more cynical, angry, irritable, and short tempered.   Yes   No *
13. I have a problem saying "no", and cannot speak openly about my feelings when angered or worried.   Yes   No *
14. I have no vision for my future, I feel like I'm just being reactive in my life.   Yes   No *
15. I feel like nothing works out in my life.   Yes   No *
16. I get symptoms of aches and pains, headaches and back pains often.   Yes   No *
17. I do feel emotional symptoms such as depression, anxiety, fatigue, fear, worry and sadness.   Yes   No *
18. I have no time to prepare meals or incorporate, regular exercise or physical activity.   Yes   No *
19. I feel guilty if I stop, relax and do nothing.   Yes   No *
20. I have little or no time for myself or hobbies.   Yes   No *
21. I find it hard to maintain a balance between family and work.   Yes   No *
22. I am not satisfied with my income and financial circumstances, and struggle financially.   Yes   No *
23. I am not satisfied with my job or career.   Yes   No *
24. I have little or no time to spend with family and friends.   Yes   No *
25. I don't feel good about my life.   Yes   No *
 

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