Self Assessment Tool

Please select all the options that apply to you from the list below:
 I feel stuck. Something is holding me back and I want to expand the possibilities in my life. I think I'm going through a mid life crisis, a change of life, and I don't know how to ask for help.  I know what I should do but often cannot generate the will to do it.  I often feel stressed, angry, resentful, embarrassed, or depressed. I want to change.  I either dominate, control and intimidate others, or I feel intimidated, bullied and manipulated and can't assert myself - I have low self-esteem.  I'm scared to let go, as I have so much anger, frustration and grief stuck inside me.  I work compulsively - often to avoid other aspects of my life. It impacts my relationships and happiness.  I've read lots of personal development books, done retreats, courses, tried therapy and anger release work, but I still feel trapped and unhappy.  I feel at a crossroads with major decisions to make. I don't know how to move forward or which direction to take.  I often feel anxious or nervous for no reason. I don't know where to get support. I need help.  Meaning is going out of my marriage, my career or my life. I often feel I'm just going through the motions.  There's a lack of joy and intimacy in my life. I've been unsuccessful in creating relationships or have had repeated failed, unfulfilling relationships.  I've messed up my relationship with my children and I want to be a better parent.  I'm either unemotional and disconnected from my feelings or my feelings are running me.  I recognise that my parents were not as loving or supportive as I wanted them to be.  I know that bad things happened in my childhood.  I see myself passing my own pain, anxiety or depression onto my children as negative family patterns.  I'm struggling to find meaning in my life. Sometimes it feels pointless. I feel numb - on automatic pilot.

Please complete your details below. Items marked with a * are required.

Your First Name: *

Your Last Name: *

Your Country: *

Your Town / Suburb: *

Your Postcode: *

Your Email: *

Your Contact Number (please include country code): *

What type of number is this?: * ---HomeMobileWorkOther

Alternative Contact Number (include country code):

What type of number is this?:---HomeMobileWorkOther

How did you find us?: * ---Hoffman GraduateTherapist or CounsellorWebsiteSocial MediaOther

If you selected "therapist", what is their name?:

If you selected "graduate", what is their name?:

If you selected "other", please provide details:

If you would like to add any additional information, please enter it below:

In order to keep spam down, please tell us the answer to this simple sum: 5+7=?