Ghosts in Twilight Zone Questions - RonaldMah

Ronald Mah, M.A., Ph.D.
Licensed Marriage & Family Therapist,
Consultant/Trainer/Author
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Ghosts in the Twilight Zone
A Questionnaire for Discovering What You Bring to Relationships


A FOR-YOUR-EYES-ONLY SELF-QUESTIONNAIRE: Confidential.  Not to be seen by anyone except you, who are filling it out.  Please fill it out for your own illumination.

Complete the sentences with your own words as they apply to you.

About Now
1) When someone is angry I tend to feel....

2) When I am scared I....

3) I feel out of control when....

4) When I feel out of control, I....

5) Sometimes, I get that queasy, uneasy, tight feeling when....

6) The thing that bothers me the most in other people is....

7) The thing that bothers me the most in my mate is....

8) The thing that bothers me the most in me is....

9) At work, when I have a problem with another staff person, I....

About Before
10) When my father got angry I used to feel....

11) When my mother got angry I used to feel....

12) When I was upset or scared as a kid, my mother....

13) When I was upset or scared as a kid, my father....

14) When I was a kid, I felt out of control in the family when....

15) When I felt out of control as a kid, I....

16) When I was a kid, I used to get that queasy, uneasy, tight feeling when....

17) The thing that used to bother me the most in my mother was....

18) The thing that used to bother me the most in my father was....

19) When I had a problem with one of siblings, I would try to get my parent(s) to....

*20) My ghosts are....

If you find your answers bring up issues and/or significant discomfort and/or disturbing questions, you may wish to seek input and help from a professional.
ADDRESS:
433 Estudillo Ave., #305
San Leandro, CA 94577-4915
Ronald Mah, M.A., Ph.D.
Licensed Marriage & Family Therapist, MFT32136
CONTACT INFORMATION:
phone: (510) 614-5641
fax: (510) 889-6553
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