Do you have trouble experiencing deeply connected intimate relationship(s) with someone you feel safe with?
*
Never
Seldom
Sometimes
Often
Always
Do you judge others?
*
Never
Seldom
Sometimes
Often
Always
Do you think or say negative things about yourself?
*
Never
Seldom
Sometimes
Often
Always
Do small things easily frustrate you that others may not get irritated by?
*
Never
Seldom
Sometimes
Often
Always
Do you take things personally and frequently get upset by other's actions?
*
Never
Seldom
Sometimes
Often
Always
Do you feel dissatisfied with who you are or what you see when you look in the mirror?
*
Never
Seldom
Sometimes
Often
Always
Do you routinely do something even if it is bad for you, because your mind or body believes you need it?
*
Never
Seldom
Sometimes
Often
Always
Do you hesitate to stand up for yourself when treated unfairly?
*
Never
Seldom
Sometimes
Often
Always
Do you put others' needs before your own at the cost of your well-being or happiness?
*
Never
Seldom
Sometimes
Often
Always
Do you feel guilty or ashamed?
*
Never
Seldom
Sometimes
Often
Always
Is it hard for you to remain composed when criticized?
*
Never
Seldom
Sometimes
Often
Always
You need substances or other things to make you feel better when dealing with mental pain, stress, fear or sadness?
*
Never
Seldom
Sometimes
Often
Always
Please enter your name and email to get your results emailed to you immediately.
Email
*
Full Name
*