PSQ - Future Selfing

PERSONAL
SECURITY

"(Required)" indicates required fields

I love substances (drugs,...) and/or distractions (TV, movies,...) that allow me to escape from being with my own thoughts:(Required)

My mother has always taken great care of her diet and physical fitness:(Required)

Disagree	Moderately	Yes	Extremely

I was raised in a household of addiction:(Required)

Disagree	Moderately	Yes	Extremely

Living in the energy of addiction is most impactful under the age of eight.

The level of loving I recieved as a small baby:(Required)

Note: this could include if you were dropped off at daycare and/or non-loving relative, during your first year of life.

I love taking my time, eating slowly and being mindful during meal time:(Required)

Disagree	Slightly	Moderately	Agree

I have worked hard for everything in my life! The world is based on competition:(Required)

Disagree	Moderately	Agree	Extremely

I don’t agree with the idea that we can simply manifest through our dreams.

My daily experience of anxiety, I would rate:(Required)

You may also feel a bit of a discount to your body.

My mother was living in a stressful environment during her pregnancy and/or during the first year of my life. My mothers life was:(Required)

This can be any form of stress including; financial, single mother, limited support, depression, moving households,...