Question 1
I am often afraid that my partner will leave me.
- Not at all
- Sometimes
- Often
- Very often
Question 2
I feel uncomfortable getting too close to my partner.
- Not at all
- Sometimes
- Often
- Very often
Question 3
I feel anxious if my partner doesn't confirm their love for me.
- Not at all
- Sometimes
- Often
- Very often
Question 4
I find it difficult to open up my inner feelings to my partner.
- Not at all
- Sometimes
- Often
- Very often
Question 5
I feel severely lonely when my partner is not with me.
- Not at all
- Sometimes
- Often
- Very often
Question 6
It is important for me to maintain an independent state.
- Not at all
- Sometimes
- Often
- Very often
Question 7
I feel like I depend on my partner too much.
- Not at all
- Sometimes
- Often
- Very often
Question 8
I want to run away when my partner demands intimacy.
- Not at all
- Sometimes
- Often
- Very often
Question 9
I worry that I don't love my partner as much as they love me.
- Not at all
- Sometimes
- Often
- Very often
Question 10
It is difficult to trust others completely.
- Not at all
- Sometimes
- Often
- Very often
Question 11
I imagine bad things when I can't reach my partner.
- Not at all
- Sometimes
- Often
- Very often
Question 12
I prefer solving my problems alone.
- Not at all
- Sometimes
- Often
- Very often
Question 13
I am very sensitive to my partner's mood changes.
- Not at all
- Sometimes
- Often
- Very often
Question 14
I devote myself to my partner but feel I don't get as much back.
- Not at all
- Sometimes
- Often
- Very often
Question 15
I tend not to express emotions much.
- Not at all
- Sometimes
- Often
- Very often
Question 16
I am afraid my partner will be disappointed in me.
- Not at all
- Sometimes
- Often
- Very often
Question 17
I try to avoid conflict situations with my partner.
- Not at all
- Sometimes
- Often
- Very often
Question 18
I want to share everything with my partner.
- It's burdensome
- Moderately yes
- Very much
- Close to obsession
Question 19
I can do well alone without a partner.
- Not at all
- Yes
- Very much (Don't need one)
Question 20
I get hurt easily.
- Not at all
- Sometimes
- Often
- Very often