CANCER PERSONALITY PROFILE SURVEY
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compiling the results. If you rather not submit your name or contact information it is optional, excluding state
and country. Both are required, to track location of responses.
.A. BASIC PERSONALITY
1. I am highly conscientious.
TRUE                   FALSE           
1
.E. TYPICALLY, THE CANCER-SUSCEPTIBLE
INDIVIDUAL REACTS ADVERSILY TO STRESS
BY INTERNALIZING AND SUPRESSING
EXTERNAL REACTIONS, OFTEN BECOMING
UNABLE TO COPE ADEQUATELY WITH SUCH
STRESS.

1. Experienced an especially damaging event/events
about 2 years before onset of detectable cancer.
TRUE                     FALSE        
  20
2. I am dutiful.
TRUE                   FALSE           
2
3. I am responsible.
TRUE                   FALSE           
3
2.  Felt at the time, that I was unable to
cope with this "last straw".    
TRUE                     FALSE        
 21
4. I am caring.
TRUE                   FALSE           
4
F.  SHOWING AN INABILITY TO RESOLVE
DEEP-SEATED EMOTIONAL PROBLEMS AND
CONFLICTS, USUALLY ARISING FROM
CHILDHOOD, OFTEN EVEN BEING UNAWARE OF
THERE PRESENCE.

1. I had/have a cumulative of unresolved emotional
issues such as fear, shame, guilt &/or grief.
TRUE                  FALSE         
 22
5. I am hardworking.
TRUE                   FALSE           
5
6. I have an above average intelligence..
TRUE                   FALSE           
6
.B. OTHER PERSONALITY TRAITS
1. I ofter exhibit a strong tendency toward carrying
other people's burdens.
TRUE                   FALSE           
7
2.  I had/have a deep hurt that I was
unable to resolve.
TRUE                  FALSE        
 23
2. Need to take on extra obligations.
TRUE                  FALSE           
8
3. I had/have a deep secret or grief eating
away at me..
TRUE                  FALSE       
  24
3. Worry for others.
TRUE                  FALSE           
9
4.  I had/have a deep seated feeling of
"What's the use?".
TRUE                  FALSE        
 25
4. I have a deep-seated need to make other
people happy.
TRUE                  FALSE          
10
5.  I had/have the feeling of "powerlessness
rage".
TRUE                  FALSE        
 26
5. I have a tendency to be a people pleaser.
TRUE                  FALSE          
11
6. I did/or do feel overwhelmed and
devastated.
TRUE                  FALSE        
 27
6. I also have a great need for approval.
TRUE                   FALSE          
12
7. I had/have a deep hurt and long-standing resentment
arising from frustrated plans and felt blockages by
other people or circumstances, I have no power or
control of.
TRUE                  FALSE        
 28
.C. HISTORY RELATIONSHIP TO PARENTS
AND OTHERS:

1. Lack of closeness to one or both parents as a
child.           
TRUE                   FALSE         
 13
8. Afraid to express rage about a certain "rotten
situation", that I hate and see no way out of.
TRUE                  FALSE        
 29
2. Lack of closeness to one or both parents as an
adult..
TRUE                   FALSE          
14
9. Had/have strong feelings of failure and
incompetence, with little sense self-accomplishment, or
closeness to someone who felt that was true.
TRUE                  FALSE        
30
3. Lack of closeness with spouse or significant
other at onset of illness.
TRUE                   FALSE          
15
10. I had/have many years of inner conflict, guilt, hurt,
grief, resentment, confusion, and/or tension
surrounding deepest personal issues. That are
connected with feelings of hopelessness, inadequacy
and self-rejection.
TRUE                  FALSE       
  31
4. Lack of closeness with friends/family at onset
or before illness was diagnosed, creating a basic
lack of a strong emotional support system.    
TRUE                   FALSE          
16
11. I had/have great troubles and sorrows that I have
had or chose to suffer silently and stuff.
TRUE                  FALSE        
 32
D. TYPICALLY, THE CANCER -SUSCEPT
-IBLE INDIVIDUAL INTERNALIZES
EMOTIONS SUCH AS ANGER,
RESENTMENT AND/OR HOSTILITY AND
HAS GREAT DIFFICULTY EXPRESSING
THEM

1. I may have long-suppressed anger, it is hard
for me to express that emotion.
TRUE                     FALSE          
17
12. Are self-chastising and have an alone feeling, due
to severely (or perceived) critical parenting and/or
past/present critical relationships and victimization.
TRUE                  FALSE        
 33
2. I may have long suppressed resent - ment, it
has always been hard for me to express that
emotion (not an acceptable emotion to have).    
TRUE                     FALSE          
18
13. May of had/have a considerable unresolved hate,
revenge desires, envy, jealousy, and anger, that is
expressed subtly, subterranean and subconsciously in
such things as passive-aggressiveness, errors of
omission, self-inconveniencing and guilt-induction.
TRUE                  FALSE        
 34
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Yes                                  No
3. I may have long suppressed hostility, it has
always been hard for me to express that emotion
(ie. not an acceptable emotion to have).    
TRUE                     FALSE          
19
THANK YOUR FOR PARTICIPATING IN OUR SURVEY!
I would like to thank www.healingcancernaturally.com for information provided.
"Natural Forces for Health & Wellness"
CANCER PERSONALITY PROFILE SURVEY
PREPARED AND CONDUCTED BY
SYLVIA SUTTON ROSS
3012 JASMINE DR. ~ CONWAY, SC 29527 ~ (843) 381-8488
E-mail ~nfhw@sc.rr.com.com
 
FIRST NAME:
LAST NAME:
ADDRESS:
SEX:*
MALE:
CITY:
FEMALE:
STATE:*
DATE OF BIRTH:*
ZIPCODE:
COUNTRY:*
EX. 12-23-1944
PHONE:
E-MAIL: *
TYPE OF CANCER:
ORIGINAL SITE:
DATE OF ORIGINAL DIAGNOSIS:
SECONDARY SITE:
DATE OF DIAGNOSIS:
R-11-26-07
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