Check List


How often do you have any of the following experiences?
(for each question choose one option from the list)
Being tired.
Feeling depressed.
Having a good day.
Being physically exhausted.
Being emotionally exhausted.
Being happy.
Being "wiped out".
"Can't take it anymore".
Being unhappy.
Feeling run-down.
Feeling trapped.
Feeling worthless.
Being weary.
Being troubled.
Feeling disillusioned and resentful.
Being weak and susceptible to illness.
Feeling hopeless.
Feeling rejected.
Feeling optimistic.
Feeling energetic.
Feeling anxious.





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Contact: Succeed Communications Inc.
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Call: 1-800-801-7264 Fax: (519) 632-8800
Email: ben@kubassek.com


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