Clinical Perfectionism Questionnaire
Please complete this questionnaire to help assess your experiences with perfectionism. Your responses are confidential and will be used for assessment purposes only.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age
*
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Please indicate how much you agree or disagree with each of the following statements as they applied to you over the past month.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Have you pushed yourself to meet high standards?
1
2
3
4
5
Have you felt that whatever you do is never good enough?
6
7
8
9
10
Have you been afraid that you might not reach your standards?
11
12
13
14
15
Have you judged yourself if you did not meet your standards?
16
17
18
19
20
Have you felt a failure as a person because you have not succeeded in meeting your standards?
21
22
23
24
25
Have you focused on your mistakes rather than what you have achieved?
26
27
28
29
30
Have you found it hard to stop thinking about mistakes you have made?
31
32
33
34
35
Have you felt that you must meet all your goals perfectly?
36
37
38
39
40
Have you avoided situations where you might not meet your standards?
41
42
43
44
45
Have you felt distressed if you have not met your standards?
46
47
48
49
50
Have you tried to do things perfectly even when it has taken a long time?
51
52
53
54
55
Have you thought less of yourself because you have not achieved everything you wanted?
56
57
58
59
60
If you would like to share any additional comments about your experiences with perfectionism, please use the space below.
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Residence
Please Select
United States
Canada
United Kingdom
Australia
Other
Occupation
Please enter today's date
*
-
Month
-
Day
Year
Date
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