| CANCER PERSONALITY PROFILE SURVEY |
| PLEASE NOTE The above information is confidential and will not be given to anyone other than those people directly 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
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
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
TRUE FALSE 2
3. I am responsible.
TRUE FALSE 3
TRUE FALSE 3
2. Felt at the time, that I was unable to
cope with this "last straw".
TRUE FALSE 21
cope with this "last straw".
TRUE FALSE 21
4. I am caring.
TRUE FALSE 4
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
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
TRUE FALSE 5
6. I have an above average intelligence..
TRUE FALSE 6
TRUE FALSE 6
.B. OTHER PERSONALITY TRAITS
1. I ofter exhibit a strong tendency toward
carrying other people's burdens.
TRUE FALSE 7
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
unable to resolve.
TRUE FALSE 23
2. Need to take on extra obligations.
TRUE FALSE 8
TRUE FALSE 8
3. I had/have a deep secret or grief eating
away at me..
TRUE FALSE 24
away at me..
TRUE FALSE 24
3. Worry for others.
TRUE FALSE 9
TRUE FALSE 9
4. I had/have a deep seated feeling of
"What's the use?".
TRUE FALSE 25
"What's the use?".
TRUE FALSE 25
4. I have a deep-seated need to make other
people happy.
TRUE FALSE 10
people happy.
TRUE FALSE 10
5. I had/have the feeling of "powerlessness
rage".
TRUE FALSE 26
rage".
TRUE FALSE 26
5. I have a tendency to be a people pleaser.
TRUE FALSE 11
TRUE FALSE 11
6. I did/or do feel overwhelmed and
devastated.
TRUE FALSE 27
devastated.
TRUE FALSE 27
6. I also have a great need for approval.
TRUE FALSE 12
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
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
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
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
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
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
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
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
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
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
-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
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
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
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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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
has always been hard for me to express
that emotion (ie. not an acceptable
emotion to have).
TRUE FALSE 19
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| "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 |
| R-11-26-07 |
|
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