Issues Checklist

If you were once religious and feel that you may have issues regarding this, then this inventory may pinpoint those issues.

Name
   
Issue/Feeling Severity (1 = least; 5 = greatest)
Confusion 1 2 3 4 5
Anxiety or fear 1 2 3 4 5
Lack of clear identity and personal values 1 2 3 4 5
Negative sense of self 1 2 3 4 5
Emptiness, as if you have no core 1 2 3 4 5
Negative image of your body and discomfort with sexuality 1 2 3 4 5
Lack of meaning or purpose in life 1 2 3 4 5
Anger and bitterness 1 2 3 4 5
Loneliness 1 2 3 4 5
Loss and grief 1 2 3 4 5
Depression 1 2 3 4 5
Persistent guilt 1 2 3 4 5
Difficulty enjoying daily pleasures 1 2 3 4 5
Unreasonably high expectations, perfectionism 1 2 3 4 5
Trouble appreciating people 1 2 3 4 5
Difficulty with self-responsibility 1 2 3 4 5
Lack of deep self-love and skills for self-care 1 2 3 4 5
Trouble thinking for yourself 1 2 3 4 5
Difficulty feeling and expressing emotion 1 2 3 4 5
External focus for satisfaction 1 2 3 4 5
   
 

This inventory was created by Dr. Marlene Winell, author of Leaving the Fold.