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Emotional Survey

Name: *
Today's date: *
What do you do for fun?
What did you used to do for fun that you don't do anymore?
Are there people in your life you confide in?
Who?
Is religion or spirituality important to you?
How is it important?
Is sex important to you?
How important?
How much do you feel in control of your life?
How much are you feeling worthy?
How much are you feeling hopeless?
What about?
How much energy and motivation do you have?
How much pleasure do you take in life?