1. Do you think you will be happier without him?
A. Yes, always
B. Sometimes
C. No, never
2. Is your relationship starting to seem more like a chore?
A. Yes, always
B. Sometimes
C. No, never
3. Does he make excuses when you ask him to spend time with you?
A. Yes, always
B. Sometimes
C. No, never
4. Is he always flirting with other girls even if you have told him it upsets you?
A. Yes, always
B. Sometimes
C. No, never
5. Does he make you cry or get angry often?
A. Yes, always
B. Sometimes
C. No, never
6. Is he only nice to you when he wants something from you?
A. Yes, always
B. Sometimes
C. No, never
7. Do you feel like he is using you?
A. Yes, always
B. Sometimes
C. No, never
8. Does he guilt-trip you even if you haven't done anything wrong?
A. Yes, always
B. Sometimes
C. No, never
9. Does he make derogatory comments about you or your body?
A. Yes, always
B. Sometimes
C. No, never
10. Has he ever harassed or abused you (physically or emotionally)?
A. Yes, always
B. Sometimes
C. No, never
