1. Is he intimate with you?
A. No, not as much as usual
B. Yes, but not a lot
C. Yes, he’s very intimate with me
2. Does he answer your questions with one-word answers?
A. Yes, most of the time
B. Yes, sometimes
C. No, never
3. Does he pick fights with you for no reason?
A. Yes, very frequently
B. Yes, sometimes
C. No, never
4. Is he acting insecure?
A. Yes, way more than usual
B. Yes, a little bit
C. No, not really
5. Has he been avoiding talking to you?
A. Yes, a lot
B. Yes, a little
C. No
6. Is he making excuses not to meet you?
A. Yes
B. Not sure
C. No
7. Is he defensive?
A. Yes, very defensive
B. Not sure
C. No, he doesn’t get defensive
8. Has your husband been checking his phone more frequently than usual?
A. Yes
B. Not sure
C. No
9. Has he suddenly started showering you with lots of gifts?
A. Yes, lots of them!
B. Yes, a few
C. No, no more than usual
10. Does he talk about other women frequently?
A. Yes, all the time
B. Yes, sometimes
C. No, never
