Emotional Protection Assessment
Help us understand your emotional well-being and protection by answering the following questions honestly.
Full Name
First Name
Last Name
Email Address
example@example.com
How safe do you feel expressing your emotions in your current environment?
*
1
2
3
4
5
In the past month, how often have you felt emotionally supported by those around you?
*
Always
Often
Sometimes
Rarely
Never
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I can set healthy emotional boundaries.
1
2
3
4
5
I feel respected when I share my feelings.
6
7
8
9
10
I have someone I trust to talk to about my emotions.
11
12
13
14
15
I feel comfortable asking for emotional help.
16
17
18
19
20
I am able to recognize when I am emotionally hurt.
21
22
23
24
25
Have you experienced emotional harm or manipulation in the last year?
*
Yes
No
Prefer not to say
How would you rate your ability to recover from emotional setbacks?
*
1
2
3
4
5
Who do you turn to most often for emotional support?
*
Please Select
Family
Friends
Colleagues
Mental health professional
No one
Other
What strategies do you use to protect your emotions?
*
Setting boundaries
Seeking support
Practicing mindfulness
Journaling
Avoiding toxic environments
Other
Please describe a situation where you felt emotionally protected or unprotected.
*
What improvements would you suggest to better support your emotional protection?
Submit Assessment
Should be Empty: