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Self-Doubt Survey

The following survey is research for Jeffrey Shaw’s upcoming book about self-doubt. Please answer all the questions you can. It can take just a few minutes or you can spend as much time as you’d like. Hopefully you’ll find the questions thought-provoking and maybe even therapeutic.

 

At the end of the survey, you can consider having Jeffrey Shaw be able to contact you for further exploration and possible inclusion in the book.

 

Thank you for your valuable insights!

I am…
On a scale of 1 to 5, how much has self-doubt held you back in your life? (5 being highest)
Do you consider yourself to be a high-achiever?
Do you feel like you’re living up to your full potential?
Has self-doubt most often:
How often do you experience self-doubt?
When I’m experiencing self-doubt I keep it to myself
Self-doubt is similar to imposter syndrome
Do you feel the pressure of expectations set by yourself?
Do you feel the pressure of expectations set by others?
Do you feel the pressure of expectations set by your reputation?
Do you have high expectations for yourself?
Have you ever achieved something you didn’t think you deserved?
Have you ever failed at something despite trying your best?
Self-doubt has played a positive role in my life
I believe I can overcome all self-doubt
I believe I can learn to manage self-doubt
I believe I would be more successful without self-doubt
I believe I would be more confident without self-doubt

In moments of self-doubt...

For me, self-doubt is most likely to show up when…
What causes you more self-doubt?

May I contact you above any of the above? If so, best contact.

Age Range

Thanks for submitting!

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