Self-Sabotage Assessment
Knowing how your saboteurs operate and how the unconscious ego will cause you to have fear, doubt, anxiety, sadness, guilt, shame, frustration and anger - is a critical learning and self discovery. There are 7.7 billion people on the planet, your way of sabotaging your results is unique to you. You will experience sabotaging thoughts - all convincing you they are your friends (the voices inside your head) and there is a set pattern in which you sabotage your relationships, your career, finances, health and things that are important to you. The impact is to cause you emotional and psychological suffering, which can be painful for you and the people you care about. In business your sabotage can cause you to fail or not reach your potential - often resulting in loss of valuable clients, conflict or poor decisions and choices that cause financial procrastination or other issues affecting your success.

By completing the Self-Sabotage Assessment you will begin to understand the impact and long term effect self-sabotage has on your life. Your responses are completely confidential and will never be shared with anyone.

You will be sent a report assessing the likely risks that self-sabotage may impact your future and a practical guide to help you overcome self-sabotage.

Complete the Assessment today to receive your complimentary:
> Self-Sabotage Risk Score
> Practical hints, tips and techniques proven to help overcome and neutralise self-sabotaging behaviour.

Thank you for your interest in this questionnaire, should you have any questions or require clarification please feel free to call or email me at any time..

Best regards

Damian
M: +44 (0) 7919 522246
E: hello@damianculhane.co.uk
Email *
Question 1: Areas of your life you have experienced self-sabotage in your past
Choose from the drop down menu an area that you have previously sabotaged or where you went for an end result that was not achieved (i.e. failed relationship, missed a promotion, conflict with friends/family, etc.). Just choose one topic to focus on from the following list:
Choose one of the following areas that you have experienced self-sabotage or where the result did not turn out as you expected: *
If you answered 'Other' to the above question, please use the space here to describe briefly the situation or area of your life that was affected:
Section 2: The impact self-sabotage on you and others
Please rate the scale of the impact the self-sabotage had on you and others.
A) On a scale of 1-10 how did the self-sabotage impact you personally? (Just answer based on yourself for this question) *
Low impact on me
High impact on me
B) On a scale of 1-10 how did the self-sabotage impact others? (Answer based on how your self-sabotage impacted relationships and how it affected others close to you) *
Low impact on others
High impact on my relationships with others
Section 3: Long term risk of self-sabotage
What areas of your life are most at risk of self-sabotage in the future?
A) Choose from the following areas that may be at risk of self-sabotage in the future (you can make multiple selections and you can also select 'None')
Please select all that apply
Relationship (Love/long term/partner)
Conflict (family/friends)
Conflict (work/line manager/colleague)
Health (weight/fitness)
Finances (lose money/debt issues)
Finances (lack of wealth creation/poor relationship with money)
Career/Business (loss of an important job/fail to win promotion/business failure)
Creativity (desire to pursue a creative streak - but failure to follow you passion)
Quit your Dreams (deciding to not follow you dreams to avoid failure or risk)
Other....
None... (not applicable - I will not self-sabotage anything in future)
Clear selection
B) Self assessment of the risk of you sabotaging an area of your life. When considering your response to the above question, how likely is it that you may experience sabotage in the future?
Please select one option
Very unlikely (0% chance)
Unlikely (up to 25% chance)
Possibly (between 26-50% chance)
Likely (51-75% chance)
Very Likely (75%+ chance)
Clear selection
Section 4: Emotional Well-being: What emotions do you associate with self-sabotage?
Reflecting on a time when you have sabotaged an area or you life in the past, at times the emotional suffering can cause pain for you and others - but you an also be driven by your adrenaline! Consider the following statement and rate each one according to whether you agree or disagree in the context of self-sabotage:
How does self-sabotage make you feel? (please select just one of the following options that best describes how self-sabotage makes you feel)
Self-Sabotage makes me feel?
Happy
Unhappy
Neither happy or sad
Sad
Very sad/depressed
Embarrassed
Guilt/shame
Angry/frustrated/annoyed...
Anxious/worry/fear...
Regretful
Vengeful/get your own back...
Lose trust
I just get carried away and cannot stop myself
I love it...
Excited - I am driven by the uncertainty
None of the above
Clear selection
Section 5: Emotions relating to self-sabotage?
Think about your primary negative/positive emotions in relation to past self-sabotage, which one best describes your daily/weekly/monthly/annual feelings about self-sabotage:
A) The primary negative emotions that affect me the most can be categorised as follows (you may make multiple selections):
Daily
Weekly
Monthly
Annual
Sadness, depression, melancholy, lack of happiness, etc.
Fear, anxiety, overwhelm, overthinking, lack of trust, self-doubt, etc.
Anger, frustration, rage, passive aggression, perfectionism, powerless, etc.
Never - none of the above
Clear selection
B) The primary positive emotions that affect me the most can be categorised as follows (you may make multiple selections):
Daily
Weekly
Monthly
Annual
Happiness/joy/pleasure
Learning/growth/wisdom
reconciliation/forgiveness/peace
Never - none of the above
Clear selection
Section 6: Saboteur self-assessment?
A) Consider the following statements and select how accurately they describe you: *
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
I am a perfectionist with very high standards that others often fail to live up to
I am selfless, but sometimes feel resentful if I am taken for granted
I am a workaholic and can be extremely focused on achieving tasks - often ignoring my emotions
I compare myself to others, this causes me to feel envious of them or resentful of myself
I am rational and analytical, sometimes cynical and sceptical
I am a worrier and always consider the dangers, spending too much time being anxious
I am constantly in search of greater excitement, others find it hard to keep up with me - I can be a bit chaotic
I am a straight talker and push people to their limits, being vulnerable is for whimps
I am a peacemaker, but sometimes situations escalate if I ignore them
I judge myself and others, often being overly harsh on myself
B) Choose the top 3 statements that resonate with you the most: *
Required
OPTIONAL RESPONSE: How would your life be different if you could overcome self-sabotage? Describe what you could achieve and how you would like to create a life you love if you could break free of your self-sabotage....
Thank you so much for your interest in completing this Self-Sabotage Assessment...
Your self-assessment report will enable you to discover whether you are at risk of sabotage in the future. You will be sent your unique Self-Sabotage Risk Score - an indication of whether you are at high, medium or low risk of sabotage. You will also receive practical hints and tips specific to an area of your life highlighted from your responses. If you are ever concerned about self-sabotage or consider yourself at high risk of sabotage you can contact a member of the team at any time here: hello@damianculhane.co.uk

You can contact Damian directly via WhatsApp, SMS or call using this number: +44 (0) 7919 522246

Best regards

Damian
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy