1. Has this taken over your mind?
A. I don’t think about it much, just occasionally
B. Yes, I can think of nothing else, I wake up, I go to bed, I brush my teeth
C. I think about it a fair amount, random things pop it into my mind, but it hasn’t quite taken over
2. Are you crying a lot?
A. More like weeping
C. I cry a little bit.
3. Have you moved on?
A. Oh yeah, I have so many crushes, dating all around
B. How could I do that? I can’t imagine being with someone else
C. I’ve considered it, I can’t quite get there yet, but I have light crushes
4. How do you feel right now?
A. I’m sad, frustrated but also feel okay
B. I feel ill, really sad, tired, terrible
5. You just ran into the person? What Happened?
A. I feel like puking and I run away
B. My heart jumps and I avoid them
C. We exchanged pleasantries
6. Does it feel like you will ever recover?
A. Recover? Yeah, I mean I’m feeling okay.
B. I know I will, but it feels really hard
7. Are you cutting yourself off from others?
A. I see friends/family/ potential lovers at least twice a week
B. I just hate seeing people now, I know they hate me because I can talk about nothing else
C. I see some friends and loved ones at time
8. Choose a song to listen to.
A. Dancing on my Own- Robyn
B. I will always love you- Whitney Houston
C. Scrubs- TLC
9. Can you let go and move on?
A. I already have
B. I think I will be able to one day
C. It seems unimaginable for me to move on in life
10. Choose a romantic movie to watch now?
A. Silence of the Lambs
B. Bridget Jones’ Diary
C. 10 Things I Hate About You