1. When did you and your ex break up?
A. We broke up 1-3 months ago
B. We broke up 3-7 months ago
C. It has been at least a year
2. Are you in love with your ex?
A. Yes, always have been
B. Not really, just don’t want to be alone
C. I think I might be in love
3. Were you sexually compatible with your ex?
A. No, sex wasn’t good
B. Yes, the sex was passionate
C. Our sex compatibility fluctuated
4. Did you and your ex fight often?
A. No, we rarely fought
B. We fought all the time
C. We would fight off and on
5. Did you both share the same sense of humor?
A. Yes
B. Maybe
C. No
6. Did you both break up over something silly?
A. Yes
B. Maybe
C. No
7. You can’t seem to have the same feelings for someone else. True or False?
A. True
B. Somewhat true
C. False
8. You were at peace when you were in a relationship with them. True or False?
A. True
B. Somewhat true
C. False
9. You never lost respect for each other. True or False?
A. True
B. Somewhat true
C. False
10. Did your ex support you emotionally?
A. No, they would ignore my emotions
B. They were incredibly supportive
C. Sometimes
11. How often do you still talk to your ex?
A. Weekly
B. Everyday
C. Rarely, if ever
12. Does your ex see other people?
A. Yes, constantly
B. No, no one since we broke up
C. They do, but nothing seems to stick
13. Do you see a future with them?
A. Not really, just someone to be with for now
B. Yes, I think about it a lot
C. I can see a future but not always
14. How long was your relationship with your ex?
A. We dated for many years
B. It was brief, just a month or two
C. 6-10 months
15. When your ex isn’t around, do you miss them?
A. I don’t typically think about them
B. I miss them most days
C. I miss them constantly!
