I feel comfortable with intimacy and closeness.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am able to trust others easily.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am comfortable depending on others and having others
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I can effectively communicate my needs and feelings.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I maintain healthy boundaries in relationships.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often worry about my relationships and fear abandonment.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I need constant reassurance from my partner.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am overly concerned about my partner's feelings for me.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I find it hard to be alone and seek closeness frequently.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often feel insecure in my relationships.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I prefer to keep my distance in relationships.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I find it hard to open up emotionally to others.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I value my independence and self-sufficiency.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often feel uncomfortable with too much closeness.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I avoid discussing my feelings with others.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I like having a planned and organized schedule.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have mixed feelings about intimacy.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I find it difficult to trust others despite wanting close relationships.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often feel unworthy of love.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am conflicted between wanting and fearing closeness.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
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Last Name