Healing is a deeply personal process – there is no “right” way to navigate recovery. This questionnaire is designed to help you reflect on where you are emotionally and explore gentle steps forward. Take your time, answer honestly, and remember that healing is not about perfection, but about progress.
Instructions: Read each question carefully and select the response that feels most true for you.
Section 1: Emotional Awareness
- How do I feel when reflecting on past experiences?
🔲 Calm and accepting
🔲 Some discomfort, but manageable
🔲 Overwhelmed or anxious
🔲 I actively avoid thinking about the past
- How do I typically respond to difficult emotions?
🔲 I acknowledge and process them
🔲 I distract myself or suppress them
🔲 I feel consumed by them
🔲 I’m unsure how to handle them
Section 2: Healing & Coping Strategies
- What support systems do I currently rely on?
🔲 Personal reflection (journaling, meditation)
🔲 Friends and family
🔲 Professional therapy
🔲 I struggle to find support
- How often do I practice self-care or grounding techniques?
🔲 Regularly—I have routines in place
🔲 Occasionally, when I remember
🔲 Rarely—I struggle to prioritize self-care
Section 3: Growth & Next Steps
- What does healing mean to me?
🔲 Feeling at peace with my past
🔲 Learning how to manage emotions better
🔲 Feeling more empowered in my life
🔲 I’m still discovering what healing means for me
- If I could take one small step towards emotional healing, what would it be?
🔲 Seeking support or therapy
🔲 Exploring self-reflection practices
🔲 Setting boundaries in relationships
🔲 Practicing self-compassion
Healing is not linear, and every step forward, no matter how small, is meaningful. If you’d like to explore these reflections further in a supportive, safe space, I’m here to work with you.
Ready for deeper support? Contact Nicola at nicola@nicolaclarkecounselling.co.uk