1. I am impatient :

I feel an inner emptiness:

3. I feel depressed / sad:

4. I am irritated / aggressive:

5. I have gloomy thoughts:

6. I am a dreamer :

7. Sometimes I am crying for no apparent reason:

8. I suffer from anxiety and panic:

9. I have trouble sleeping - I can't sleep; waking up at night; dreaming nightmares:

10. I feel tired and exhausted during the day:

11. I take sleeping pills and / or sedatives:

12. I drink alcohol after work to feel better:

13. Every physical effort costs me a lot:

14. I have a headache / migraine:

15. I feel dizzy:

16. I have tinnitus (ear noises)

17. I suffer from tensions (eg neck, jaw, etc.):

18. I have cardiovascular problems (high / low blood pressure, palpitations, etc.):

19. I have problems with the stomach and / or intestines:

20. I have sexual problems:

21. I have more than two colds a year

22. I sweat more than before

23. I have been increasing / losing weight lately:

24. Often I think about my work after working time.

25. Things that I enjoyed to do, I do not make me happy anymore:

26. My job makes me as happy as it was in the beginning:

27. I have enough time for myself:

28. I can find time for my family and friends:

29. I easily prioritize things around me:

30. I can easily say "NO" to things I don't want to do:

31. I  have good self-esteem;

32. I make plans for my future:

33. My ability to concentrate is good:

34. I am a perfectionist:

35. I often forget and find it difficult to remember new things: