1 ... is very supportive of all the things that I do and the decisions I make.

Yes No

2 ... encourages me to try new things but never pushes me to do things I don’t want to do.

Yes No

3 ... likes to listen when I have something on my mind.

Yes No

4 ... understands that I have my own life too.

Yes No

5 ... likes my friends.

Yes No

6 ... is well liked by my friends.

Yes No

7 ... says I am too involved in different or certain activities.

Yes No

8 ... texts me or calls me all the time.

Yes No

9 ... thinks I spend too much time trying to look nice.

Yes No

10 ... tells me what I can wear or how I should look.

Yes No

11 ... gets extremely jealous or possessive.

Yes No

12 ... constantly checks up on me or makes me check in with them.

Yes No

13 ... tries to control what I do and who I see.

Yes No

14 ... tries to keep me from seeing family or friends.

Yes No

15 ... always picks an argument before we are due to go out socially.

Yes No

16 ... has big mood swings – gets angry and yells one minute, and the next may be all sweet and apologetic.

Yes No

17 ... makes me feel nervous or that ‘I am walking on egg shells’.

Yes No

18 ... takes my money or finds ways to make me give them my money.

Yes No

19 ... puts me down, calls me names, or criticizes me.

Yes No

20 ... makes me feel like I can’t do anything right, or blames me for any problems.

Yes No

21 ... makes me feel like nobody else would ever want me.

Yes No

22 ... makes fun of my faith or beliefs.

Yes No

23 ... threatens to tell people about my sexuality.

Yes No

24 ... threatens to tell people about my drug or alcohol issues, or about any mental health problems I may have.

Yes No

25 ... threatens to hurt me, my family, children, friends or pets.

Yes No

26 ... threatens to hurt themselves or commit suicide because of me.

Yes No

27 ... grabs, pushes, shoves, chokes, punches, slaps, holds me down, throws things or hurts me in any other way.

Yes No

28 ... yells, screams or humiliates me in front of others.

Yes No

29 ... pressures or forces me to have sex, go farther than I want to or do things I don’t want to.

Yes No

30 ... makes it difficult or impossible for me to end my relationship with them.

Yes No

31 ... refuses to accept that our relationship is over.

Yes No