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Question 1/5:
What is Your Relationship Status?
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Question 2/5:
What is Your Age?
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40+
Question 3/5:
Where Are You From?
Question 4/5:
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Question 5/5:
Are You a Parent?
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Expecting
Question 1. I worry about being abandoned by people I care about.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 2. I need a lot of reassurance from my partner that they care about me.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 3. I get frustrated when my partner isn't available when I need them.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 4. I fear my partner doesn't care about me as much as I care about them.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 5. When my partner acts distant, I wonder if they want to end things.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 6. I worry that I'm not good enough for the people I date.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 7. I get anxious when I don't hear from someone I'm dating for a while.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 8. I often doubt whether my partner really loves me.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 9. I prefer not to show how I feel deep down to my partner.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 10. I find it difficult to depend on people in relationships.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 11. I don't feel comfortable opening up to partners about my feelings.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 12. I try to avoid getting too attached to people I date.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 13. I feel uncomfortable when partners want to be very close emotionally.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 14. I find it relatively easy to get close to people.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 15. I worry about having my freedom restricted by relationships.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Question 16. It's important for me to maintain my independence in relationships.
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
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