Check yes or no to each of the following questions. This is a self test, it will not be sent to any one.
1. Do you easily lose track of time?
- Yes - No
2. Do you have difficulty paying attention?
3. Do you ever find yourself somewhere but don't remember how you got there?
4. Do you have difficulty giving someone or something your full attention?
5. Do you get easily distracted?
6. Do you dwell a lot on the past rather than living in the present?
7. Are you prone to accidents and/or mistakes?
8. Do you spend a lot of time daydreaming because you're dissatisfied with your circumstances?
9. Do you get easily stressed?
10. Do you retreat into fantasy rather than face your problems?
11. Do you get emotional easily?
12. Do you get easily frustrated?
13. Do you ever feel emotionally drained after dealing with people?
14. Do you ever feel physically drained after dealing with people?
15. Do you ever lose track of what you were doing and why you were doing it?
16. Do you have difficulty in either grounding, centering, or stilling your mind?
17. Do you have difficulty meditating?
18. Do you have difficulty finding time just for you?
19. Do your personal plans always seem to come unstuck?
20. Have you tried to become better grounded in the past, but failed?
Please click on the submit button when you are finished. Within a few seconds you will receive your score and information to help you interpret your score.
