Guilt Assessment

Please provide the following contact information (email essential):

Birthdate (day/month/year)

Gender (Male/Female)

The Format of profiling your experience of GUILT is 

1. WHEN (you identify the triggering or activating events)

2. I FEEL (you identify the level of impact that accompanies guilt)

3. I RESPOND BY (you identify the behaviours or actions that accompany you feeling guilty)

4. BECAUSE (you identify the thinking that accompanies the experience of GUILT)

WHEN

I violate my own moral code (I break my rule(s) actively [action, comission]
I fail to live up to a shared moral code (I break my rule(s) passively [inaction, omission]
I hurt the feelings of a significant other (friend, close associate, spouse etc.)

Other WHENs

I experience FEELINGS associated with Guilt

to this level  1. The absence of any distress. Feeling calm and totally relaxed 2. Neutral feeling or just OK, not as relaxed as could be 3. Increased discomfort, unpleasant, but in control 4. Noticeable discomfort or distress, perhaps agitation, but tolerable 5. Discomfort is very uncomfortable, but I can stand it. 6. Discomfort worsens and affects my life 7. Discomfort is severe and emotional pain interferes with my life. 8. Discomfort increases and it is in my thoughts constantly 9. Discomfort is nearly intolerable 10. Discomfort is extreme and the worst imaginable. I feel panicky and overwhelmed.

I RESPOND BY 

Escaping from the unhealthy pain of guilt in self-defeating ways
Begging forgiveness from the person wronged and promising unrealistically that I will not sin again
Punishing myself physically or by deprivation (starving, abstinence)
Disclaiming responsibility for wrong doing

Other Responses you make

BECAUSE

I assume that I have definitely committed the sin
I assume more personal responsibility than the situation warrants
I assign far less responsibility to others than is warranted
I do not think of mitigating (reasonable causes) factors
I think that I will receive retribution (payback, punishment)

Other Becauses

Please comment further those things you feel I need to know to understand you and your experience of guilt?