Form: Lifetrap Questionnaire

1 : Completely untrue of me
2 : Mostly untrue of me
3 : Slightly more true than untrue of me
4 : Moderately true of me
5 : Mostly true of me
6 : Describes me perfectly
¹
1
2
3
4
5
6
1
I find myself clinging to people I'm close to because I'm afraid they'll leave me.
2
I worry a lot that the people I love will find someone else they prefer and leave me.
3
I am usually on the lookout for people's ulterior motives; I don't trust people easily.
4
I feel I cannot let my guard down around other people or they will hurt me.
5
I worry more than the average person about danger – that I will get sick or that some harm will come to me.
6
I worry that I (or my family) will lose money and become destitute or dependent on others.
7
I do not feel I can cope well by myself, so I feel I need other people to help me get by.
8
My parents and I tend to be overinvolved in each other's lives and problems.
9
I have not had someone to nurture me, share him/herself with me, or care deeply about what happens to me.
10
People have not been there to meet my emotional needs for understanding, empathy, guidance, advice, and support.
11
I feel like I do not belong. I am different. I do not really fit in.
12
I'm dull and boring; I don't know what to say socially.
13
No one I desire who knew the real me – with all my defects exposed – could love me.
14
I am ashamed of myself; I am unworthy of the love, attention, and respect of others.
15
I am not as intelligent or capable as most people when it comes to work (or school).
16
I often feel inadequate because I do not measure up to others in terms of talent, intelligence, and success.
17
I feel that I have no choice but to give in to other people's wishes; otherwise they will retaliate or reject me in some way.
18
People see me as doing too much for others and not enough for myself.
19
I try to do my best, I can't settle for good enough. I like to be number one at what I do.
20
I have so much to accomplish that there is almost no time to relax and really enjoy myself.
21
I feel that I shouldn't have to follow the normal rules and conventions other people do.
22
I can't seem to discipline myself to complete routine, boring tasks or to control my emotions.

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.