TaT Self-Evaluation Form Simply Fill Out and Submit at the Start and Completion of your 9-Week Journey. TaT will Score and Send the Results back to you! Date * MM DD YYYY Which Time Frame is this for in the Course: * BEGINNING CONCLUSION Name * First Name Last Name Email * Phone (###) ### #### REFLECTING UPON THIS LAST WEEK UNITL YOUR PRESENT STATE, RATE HOW MUCH YOU AGREE/DISAGREE WITHTHE FOLOWING THOUGHTS. * (Please be sure to answer all of them.) 1) "NO ONE UNDERSTANDS ME!" Strongly Disagree Disagree Neutral Agree Strongly Agree 2) "I AM HAPPY!' Strongly Disagree Disagree Neutral Agree Strongly Agree 3) "I FEEL ANXIOUS!" Strongly Disagree Disagree Neutral Agree Strongly Agree 4) "I AM PISSED OFF!" Strongly Disagree Disagree Neutral Agree Strongly Agree 5) "I AM SAD!" Strongly Disagree Disagree Neutral Agree Strongly Agree 6) "MY THOUGHTS ARE IN ALL DIRECTIONS!" Strongly Disagree Disagree Neutral Agree Strongly Agree 7) "MY MIND KEEPS FOCUSING ON NEGATIVE ASPECTS!" Strongly Disagree Disagree Neutral Agree Strongly Agree 8) "LIFE IS GOOD!" Strongly Disagree Disagree Neutral Agree Strongly Agree 9) "THERE IS NO HOPE!" Strongly Disagree Disagree Neutral Agree Strongly Agree 10) "I JUST DON'T FIT IN!" Strongly Disagree Disagree Neutral Agree Strongly Agree 11) "THERE IS NEVER ENOUGH TIME!" Strongly Disagree Disagree Neutral Agree Strongly Agree 12) "I JUST WANT TO PUNCH SOMETHING!" Strongly Disagree Disagree Neutral Agree Strongly Agree 13) "I AM NOT HAPPY!" Strongly Disagree Disagree Neutral Agree Strongly Agree 14) "THINGS WILL NEVER GET BETTER!" Strongly Disagree Disagree Neutral Agree Strongly Agree 15) "MY HEART IS FULL OF GRATITUDE!" Strongly Disagree Disagree Neutral Agree Strongly Agree 16) "I HAVE A HARD TIME STAYING FOCUSED!" Strongly Disagree Disagree Neutral Agree Strongly Agree 17) "I KEEP REPLAYING THE BAD STUFF!" Strongly Disagree Disagree Neutral Agree Strongly Agree 18) "I LOVE WHO I AM!" Strongly Disagree Disagree Neutral Agree Strongly Agree COMMENTS: Your valuable thoughts and time are appreciated. The tallied results will be emailed back to you in a timely manner. If you have any questions/comments please feel free to reach out to us! P.S. We are glad you are here!