1. Do you see a future with your boyfriend?
A. Yeah, I think we can make it work
B. No, I can’t see myself with them for the long term
C. Yes and no. I’m not sure
2. Does your relationship feel one-sided?
A. No it doesn’t
B. Yeah it really does
C. Sometimes it feels this way
3. Does your partner constantly blame you?
A. Yeah I feel they do
B. No, we take responsibility
C. Sometimes I feel they blame me too much
4. Has your partner changed for the better since dating you?
A. Yeah they have
B. No, they haven’t
C. I haven't’ seen marked changes, but some
5. Do you feel your life has improved since dating them and can see it getting better?
A. Yeah it can
B. No, I’m not seeing it
C. I’m not totally sure it’s really improved. Feels the same
6. Do you feel threatened or disrespected in the relationship?
A. We had a stint, but we’re working through it
B. Yeah, I have before
C. No, I think we’re fine
7. Does your partner still respect your decisions, even the serious ones?
A. Yeah he does
B. No, he doesn’t like them
C. He does, but I can sense resentment
8. Do you feel comfortable speaking out about problems in the relationship?
A. No I feel like I’m walking on eggshells
B. Yeah I can communicate healthily
C. Sometimes I feel intimidated and I know they get upset
9. Does speaking about big decisions with your partner make you scared?
A. No I’m confident in our relationship
B. Yeah I don’t know if I can
C. I feel we can but there’s a wall there
10. Does therapy seem like something that can help with your relationship troubles?
A. No I think we’re beyond saving
B. I think for the little issues, it can
C. I’m not against going to therapy to fix the big concerns