1. Have you ever
lost time from work or school
due to shoplifting? |
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2. Has shoplifting ever created
problems in your relationships? |
|
3. Has shoplifting ever affected
your reputation or people’s
opinion of you? |
|
4. Have you ever felt guilt,
shame, or remorse after shoplifting? |
|
5. Did you ever shoplift
to get money to pay debts or
to solve money issues? |
|
6. Did shoplifting ever cause
a decrease in your ambition
or efficiency? |
|
7. Did you ever experience
a “high” or “rush”
of excitement when you shoplifted? |
|
8. Have you ever shoplifted
to escape worries or troubles? |
Y/N |
9. Has shoplifting caused
you to have difficulty eating
or sleeping? |
|
10. Do arguments, disappointments
or frustrations create an urge
to shoplift? |
|
11. Have you noticed you
began shoplifting more frequently
over time? |
|
12. Have you ever considered
self-destruction or suicide
as a result of your shoplifting? |
|
13. Upon stopping shoplifting,
did you continue to be tempted/preoccupied
by it? |
|
14. Have you kept your shoplifting
a secret from most of those
you are close to? |
|
15. Have you told yourself
“this is my last time”
and still shoplifted again? |
|
16. Have you continued to
shoplift despite having been
confronted or arrested? |
|
17. Do you often feel angry
or feel a need for control? |
|
18. Do you have persistent
feelings of life being unfair? |
|
19. Do you have persistent
feelings of entitlement to get
“something for nothing? |
|
20. Do you have trouble speaking
up for yourself, asking for
help, or saying “no"? |
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