1. Do you find yourself feeling physically ill when thoughts about the other person overwhelm you?
2. Do you feel like you've lost part of your identity after the heartbreak?
3. Have you been having intrusive thoughts about the past relationship?
4. How has the heartbreak impacted your sleeping patterns?
5. Do you feel like the heartbreak has affected your self-esteem?
6. Are you finding it difficult to trust others after the heartbreak?
7. Can you follow through with plans and your old routine?
8. Have you been ignoring your physical appearance and mental needs?
9. Do you lack the motivation to do the things that you used to love doing?
10. Do you find it hard to focus on your studies/ work?
11. How much do you think about the heartbreak?
12. Choose a romantic movie to watch now?
13. Can you let go and move on?
14. Choose a song to listen to.
15. Are you cutting yourself off from others?
16. Does it feel like you will ever recover?
17. What will happen if you just run into the person who broke your heart?
18. How do you feel right now?
19. Have you moved on?
20. Are you crying a lot?