Self-Assessment Questionnaire - The Peter Berlin Center
Self-Assessment Questionnaire

Self-Assessment Questionnaire

Actual Or Fictitious First Name followed by 4 Numbers of your choice:(Required)
(NOTE: Please write down the Name you create, as you may need it in the future.)
Gender(Required)

Part I - Can You Identify With The Words Of People Who Had A Shoplifting Problem?

Instructions: Enter your response by clicking in the circle:
1. "If I can't shoplift, I go through symptoms of withdrawal."
2. "I feel I give everything and get nothing from my family."
3. "Shoplifting has become so much a part of me it feels like my best friend."
4. "I only shoplift when I'm really stressed out."
5. "I'm always depressed because I don't know where I'm headed."
6. "I don't think about when I was caught because my family is used to ignoring our problems."
7. "I like to deceive people to show how powerful I am and get what I deserve."
8. "I don't really shoplift, I only change price tags."
9. "Because I'm not working, I'm trying to make life easier for the family."
10. "I get angry when I'm overcharged, so I get even."
11. "After weeks of not shoplifting, I went on a binge and when I got to my car I thought to myself I'm back, I was able to beat them again."
12. "Shoplifting is like making the world fair."
13. "I felt deprived as a child because my sister was sick, got all the attention and I had to be the good child."
14. "If I stop shoplifting, I worry I won't have enough for tomorrow."
15. "Shoplifting is the only thing I do for myself."
16. "I feel shoplifting has taken over my life... it's an addiction for me."
17. "I want to stop shoplifting but I don't know how to do it and feel OK."
18. "Even though I have stopped shoplifting for two months, I can never be proud of myself for not shoplifting because I never should have done it in the first place."
19. "I was taught that if I want something but it is not necessary, I'm not justified in spending the money, so I don't pay for it."
20. "I can't hold on to happy thoughts because I have this black cloud hanging over me."
21. "I can't accept anything good about myself as along as I'm still shoplifting".
22. "I would like to regain my self respect."
23. "I get a high or rush that I can't resist."
24. "The only thing that stops me is my fear of going to jail."
25. "Shoplifting is a way for me to be naughty."
26. "I hate living with this horrible secret."
27. "When I'm angry and frustrated, I need to relieve the pressure."
28. "After work I need to gratify myself before I go home."
29. "Every time I go to the store I say to myself, this is my last time."
30. "I dream about shoplifting."
31. "Sometimes, I'll spill out the milk in the sink just so I have an excuse to go to the store."
32. "Even after all this time, I still get the urge to shoplift but I feel like I am in control."
33. "My mother and I used to shoplift together."
34. "Shoplifting makes me feel like a big shot."
35. "I stopped gambling so I need the rush of shoplifting."
36. "I have other issues too with compulsive behaviors."
37. "When my supervisor told me I was doing a good job, it meant more to me than shoplifting."
38. "Like my parents, I worry about money and that we won't have enough."
39. "My marriage is not exciting and shoplifting fills a need for me."
40. "I always worry about money even though my husband and I make a decent living."
41. "I have come to accept that I have a shoplifting addiction that will lead to prison, insanity or death."
42. "Boredom is a big issue for me."
43. "I would like to tell my husband but I'm afraid he won't be supportive because I haven't always been a good wife."
44. "My parents never spent any money on me so I never felt I was worth spending on myself."
45. "My husband often reminds me that he is the one who puts a roof over my head so shoplifting helps me to take less from him."
46. "I feel more independent when I can save money so I hoard things and shoplifting helps my 'stash' to grow."
47. "I give away the things I shoplift so people will love me."
48. "I have overwhelming guilt and shame about being a shoplifter."
49. "Shoplifting helps my depression."
50. "If I can't shoplift, I begin to feel deprived again."
51. "When I'm sad, shoplifting just makes me feel better."
If you have a question or comments to share, please contact us at contact@ThePeterBerlinCenter.com