|   | 
						  | 
						  | 
						  | 
						  | 
						  | 
						  | 
					
					
						| # of Clients | 
						% Improvement | 
						  | 
						Emotional Checklist | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						54% | 
						  | 
						
						
						1) Do you worry about family, friends, self, events, future Etc? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						51% | 
						  | 
						
						
						2) Do you get self-critical and blame yourself for everything? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						64% | 
						  | 
						
						
						3) Have you been feeling resentful or angry? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						56% | 
						  | 
						
						
						4) Do you find it hard to get a good night sleep? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						59% | 
						  | 
						
						
						5) Have you been feeling sad or do you feel your future is hopeless? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						51% | 
						  | 
						
						
						6) Do you feel inferior to others or think of yourself as a failure? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						61% | 
						  | 
						
						
						7) Have you lost your interest in your career, hobby, family or friends? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						59% | 
						  | 
						
						
						8) Do you feel overwhelmed and have to push yourself hard to do things? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						39% | 
						  | 
						
						
						9) Have you lost your appetite or do you compulsively overeat? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						44% | 
						  | 
						
						
						10) Do you have trouble making up your mind? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						44% | 
						  | 
						
						
						11) Do you have feelings of hatred toward anyone, anything or yourself? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						46% | 
						  | 
						
						
						12) Do you feel life is not worth living? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| Total | 
						58% | 
						  | 
						  | 
						  | 
						  | 
						  | 
					
					
						|   | 
						  | 
						
						
						Behavior Control Checklist 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						44% | 
						  | 
						
						
						1) How would you rate your understanding of how thought, emotion and behavior work? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						57% | 
						  | 
						
						
						2) How would you rate your ability to restructure subconscious processes? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						48% | 
						  | 
						
						
						3) How would you rate your ability to maintain the emotional state of love? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						36% | 
						  | 
						
						
						4) How would you rate your confidence in achieving your objectives? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						41% | 
						  | 
						
						
						5) How would you rate your self-motivation and ability to stay focused? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| Total | 
						46% | 
						  | 
						  | 
						  | 
						  | 
						  | 
					
					
						|   | 
						  | 
						
						
						Relationship Satisfaction 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						30% | 
						  | 
						
						
						1) How would you rate your communication with people closest to you? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						33% | 
						  | 
						
						
						2) Resolving conflicts and arguments with people closest to you? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						45% | 
						  | 
						
						
						3) Satisfaction with your role in the relationships of the people closest to you? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						38% | 
						  | 
						
						
						4) Satisfaction with the other people’s role in your relationships? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| 20 | 
						27% | 
						  | 
						
						
						5) Love for people closest to you? 
						 
						 | 
						  | 
						  | 
						  | 
					
					
						| Total | 
						35% | 
						  | 
						  | 
						  | 
						  | 
						  |