1. Is he ignoring all your calls, texts or emails?
A. Yes, he never responds
B. He only replies to my texts, but ignores my calls
C. He responds every time, but never initiates
D. He keeps saying that he does not want to talk to me
2. How long has it been that he hasn't spoken to you?
A. Less than a week
B. Just very recently
C. We talk on and off
D. More than a week
3. Have you contacted his friends?
A. Yes, and they have no idea
B. No, we were not that close
C. Yes, and they said he seems fine
D. No, I don’t really gel with his friends
4. What was the last thing he told you?
A. He did not say anything about not contacting me again
B. He asked me if I was happy with him
C. He said he is going on a vacation
D. He told me no matter what he would always love me
5. Did you have any unresolved arguments with him?
A. Yes, we have plenty
B. No, we have never had such arguments
C. Sometimes, but he tends to go silent
D. Yes, and it was baseless
6. How does he act when you feel sick and need help?
A. He is always ready to help
B. He helps, but would rather not
C. He always had excuses
D. He usually sends help but is never physically present
7. Have you ever had the feeling of one-sided love around them?
A. Yes, often
B. Not really
C. I feel that they have always liked me more
D. I am not sure, he has always had doubts about our relationship
8. Has he ever felt insecure in the relationship?
A. Yes, he was really insecure
B. No, he always seemed too busy to think about us
C. Yes, sometimes, as much as I did
D. No, we always felt secure with each other
9. Do you think there is anything about him worth waiting for?
A. Yes, he used to get me
B. We understood each other, but would also fight a lot
C. I can not think of anything concrete
D. He was really smooth
10. Has he ever tried to correct any of your behaviours?
A. No, he hasn’t
B. Yes, sometimes
C. He tried, but failed
D. No, not that I can remember