Updated
Original VAYEMA symptom and impact self-check – not a validated scale
Identity and life transitions
Answer the symptom statements below to see which experiences and areas of daily life you report as most affected. These are original VAYEMA questions, not a validated diagnostic scale. No clinical severity or probability score is calculated.
Answers are processed only in this page by this assessment. They are not submitted, monitored or automatically saved. No name, email or account is required. Use a private device and clear your answers when finished.
For adults aged 18 and over. This self-check cannot diagnose or rule out a condition. Concerns about a child require an age-appropriate professional assessment.
Thinking about the past four weeks, how well does each statement describe your experience?
Additional context – not included in any questionnaire score
These are original VAYEMA questions, not a diagnostic instrument or a validated severity scale. They summarise the experiences you select and do not predict a diagnosis or future harm. Background condition information; this source does not endorse this self-check.
Use preparation to identify questions, not produce a verdict
You may be searching for a test because uncertainty feels uncomfortable or because you want language for an experience that is hard to explain. A few notes can help organise a conversation. They cannot determine who you are, predict the right career or relationship, or make a complex decision on your behalf. The absence of a score protects against giving those judgments a false appearance of precision.
Write what you would like help understanding rather than an answer you think a professional expects. You might be unsure whether a familiar role still fits or why a particular change feels unsettling. It is acceptable to have several possible explanations. The assessment conversation can explore them without requiring you to choose a complete account before receiving support.
Describe what changed and what remains stable
A transition may be recent, anticipated or gradual. Explain the practical change and its effect on daily life: a different role, relationship, community, health situation or set of responsibilities. You do not need to present the change as entirely positive or negative. Mixed feelings can be relevant without settling whether a decision was right.
Also note what remains familiar. Values, relationships, skills or interests may continue even when one central role changes. NHS guidance on change encourages attention to manageable actions and sources of stability. These are possible resources for a conversation, not a requirement to find a positive lesson in every difficult event.
Separate uncertainty from symptoms needing assessment
Questions about identity are not a diagnosis. Persistent low mood, severe anxiety, sleep disruption, increased substance use or impaired functioning may nevertheless require clinical attention. Describe those experiences in ordinary language, including when they began and whether they have worsened. You do not have to know which diagnosis, if any, applies.
MedlinePlus describes adjustment disorder as one possible clinical response to a stressor, not a label for every life change. A professional should consider other explanations and your broader history. New disorientation or sudden confusion is different from reflective uncertainty about identity and needs urgent medical assessment rather than an online self-check.
Identify the effect on everyday life
Consider sleep, meals, work, relationships, self-care and decisions that need attention. Which activities are manageable, which require unusual effort and which have stopped? A few specific examples are more useful than trying to summarise yourself as coping or not coping. Include what supports you as well as what feels difficult.
The purpose is not to compare your functioning with another person’s or judge productivity. Someone may continue working while feeling distressed, and someone else may need time away without having a particular disorder. A clinician can interpret the pattern in context. The worksheet cannot make that distinction from a count of tasks or a general impression of how organised your life looks.
Consider values without forcing a final hierarchy
You may notice tensions between belonging and independence, security and change, or responsibility and rest. Rather than rank every value, describe one situation where the tension appears. What matters to you, what are others asking and what consequences are you considering? This provides a concrete starting point for reflection without turning a complex life into a personality category.
It can be useful to distinguish a value from one particular way of expressing it. You may want meaningful contribution without returning to an old role, or closeness without accepting unlimited demands. The professional can help explore options. Decisions with medical, financial or legal implications may need specialist advice as well; a values worksheet is not a substitute for that information.
Identity exploration should remain yours
You do not need to choose a label for gender, sexuality, culture or belief in order to seek support. Nor should uncertainty itself be treated as evidence of illness. ABCT distinguishes sexual and gender minority identities from the mental health concerns that therapy may address. The assessment should focus on your experience, distress and needs without imposing a preferred identity outcome.
Ask how the practitioner approaches exploration and confidentiality. You may want to discuss a question privately before deciding whether to share it with anyone else. Disclosure should not be assumed to be a necessary first step, particularly when family or community reactions could have practical or safety consequences. You remain entitled to consider the pace and language that fit your circumstances.
Notice when searching becomes less helpful
Some reflection leads to a useful question or action. Repeatedly taking online tests, checking labels or seeking absolute certainty may instead leave you feeling more unsettled. Notice the effect of the activity rather than using it to diagnose yourself. Does it help clarify the next step, or create a need for another result immediately afterwards?
You can use this worksheet once for a specific purpose and then stop. There is no benefit assigned to repeated completion and no result to improve. If repetitive doubts or checking are significantly disrupting life, tell a clinician about the pattern. The relevant assessment should consider what is happening rather than assume that another identity test will resolve the uncertainty.
Prepare questions about the professional's approach
Ask what the first appointment involves, how goals are agreed and how the practitioner handles uncertainty. What training and professional registration do they have? Which concerns are within their competence? BACP describes counselling as supporting a person’s own understanding, so a proposed approach should not depend on the therapist deciding the correct life direction for you.
Clarify practical matters such as fees, format, confidentiality, record access and cancellation arrangements. You can ask whether an exploratory appointment is possible before committing to ongoing sessions. Tell the service about language or accessibility needs. A good assessment process should help you understand the options, not use your uncertainty as a reason to press for an immediate treatment purchase.
Agree a manageable next step
At the end of a conversation, ask the professional to summarise their understanding and what remains uncertain. Is the recommendation further assessment, counselling, practical assistance or a small change to try? You can correct misunderstandings and ask for alternatives. An initial plan does not have to answer every question about the future.
A review point can help distinguish useful exploration from continuing indefinitely without a purpose. Consider what you hope to notice: clearer priorities, more manageable distress, better functioning or a decision made with appropriate information. Progress need not mean certainty about everything. The plan can be adapted as circumstances change, and you can decide whether the support remains relevant.
Protect your notes and use urgent services directly
The tool does not send answers, alert a clinician or arrange an appointment. A downloaded copy remains on your device and may be accessible through shared accounts or backups. Keep only what is useful and safe, clear the worksheet when finished and share selected information through a professional’s recommended channel. You are not required to give a partner, relative or employer access to these notes.
If you cannot keep yourself safe, may act on suicidal thoughts or experience sudden confusion or another medical emergency, use appropriate local urgent services rather than completing the tool. For routine support, the companion treatment guide explains options. NHS counselling information can also help prepare questions, but neither a webpage nor a completed self-check substitutes for direct contact with a service.
Frequently asked questions
Is this a personality or identity test?
No. It does not assign a type, reveal a hidden identity or calculate a score. The prompts are for personal preparation. They can help you identify what to discuss, but cannot make decisions about relationships, work, values or identity on your behalf.
Can the worksheet diagnose an identity crisis?
Identity crisis is an everyday description, not a diagnosis produced by this tool. A clinician can assess symptoms and functioning when needed. You can seek support without a label, and ordinary exploration of roles or identity should not automatically be treated as mental illness.
Do I need to share my answers?
No. You can keep selected notes, discuss the topics verbally or attend without preparation. Consider privacy before recording sensitive information. A professional should explain confidentiality and how information is used before you decide what to share.
What if I cannot decide which answers fit?
Uncertainty is a valid answer, and you can leave prompts blank. The aim is not to complete a perfect profile. A first appointment can help explore the questions gradually without requiring a conclusion about every part of your life or identity.
Should I keep repeating the self-check until I feel certain?
No score or improved result comes from repetition. Use the prompts for a limited purpose, then return to ordinary activities or discuss the concern with a professional. If repeated testing or doubts are disrupting life, describe that pattern so it can be assessed appropriately.
Will someone respond if I describe urgent distress?
No. The worksheet is not monitored and does not send alerts. Contact a professional directly for routine care. Immediate danger, inability to stay safe or sudden confusion needs appropriate local emergency or urgent medical support, not a saved or downloaded set of answers.
Resources and references
[1] NHS: Dealing with change and uncertainty
[2] MedlinePlus: Adjustment disorder
[3] ABCT: Sexual and gender minority populations