11. Abused me physically, emotionally, or sexually.
_____ _____ 12. Used me to satisfy his/her needs.
_____ _____ 13. Seemed to get pleasure from hurting people. *ma
_____ _____ 14. Worried excessively that I would get hurt.
_____ _____ 15. Worried excessively that I would get sick.
_____ _____ 16. Was a fearful or phobic person.
_____ _____ 17. Overprotected me. *vh
_____ _____ 18. Made me feel I couldn't rely on my decisions or judgment.
_____ _____ 19. Did too many things for me instead of letting me do things on my own.
_____ _____ 20. Treated me as if I were younger than I really was. *di
_____ _____ 21. Criticized me a lot.
_____ _____ 22. Made me feel unloved or rejected.
_____ _____ 23. Treated me as if there was something wrong with me.
_____ _____ 24. Made me feel ashamed of myself in important respects. *ds
_____ _____ 25. Never taught me the discipline necessary to succeed in school.
_____ _____ 26. Treated me as if I was stupid or untalented.
_____ _____ 27. Didn't really want me to succeed.
_____ _____ 28. Expected me to be a failure in life. *fa
_____ _____ 29. Treated me as if my opinions or desires didn't count.
_____ _____ 30. Did what he/she wanted, regardless of my needs.
_____ _____ 31. Controlled my life so that I had little freedom of choice.
_____ _____ 32. Everything had to be on his/her terms. *sb
_____ _____ 33. Sacrificed his/her own needs for the sake of the family.
_____ _____ 34. Was unable to handle many daily responsibilities, so I had to do more than my share.
_____ _____ 35. Was unhappy a lot and relied on me for support and understanding.
_____ _____ 36. Made me feel that I was strong, and should take care of other people. *ss
_____ _____ 37. Had very high expectations for him/herself.
Do Not Copy
_____ _____ 38. Expected me to do my best at all times.
_____ _____ 39. Was a perfectionist in many areas; things had to be "just so".
_____ _____ 40. Made me feel that almost nothing I did was quite good enough.
_____ _____ 41. Had strict, rigid rules of right and wrong.
_____ _____ 42. Became impatient if things weren't done properly or quickly enough.
_____ _____ 43. Placed more importance on doing things well than on having fun or relaxing. *us
_____ _____ 44. Spoiled me, or was overindulgent, in many respects.
_____ _____ 45. Made me feel I was special, better than most other people.
_____ _____ 46. Was demanding; expected to get things his/her way.
_____ _____ 47. Didn't teach me that I had responsibilities to other people. *et
_____ _____ 48. Provided very little discipline or structure for me.
_____ _____ 49. Set few rules or responsibilities for me.
_____ _____ 50. Allowed me to get very angry or lose control.
_____ _____ 51. Was an undisciplined person. *is
_____ _____ 52. We were so close that we understood each other almost perfectly.
_____ _____ 53. I felt that I didn't have enough individuality or sense of self, separate from him/her.
_____ _____ 54. I felt that I didn't have my own sense of direction while I was growing up because
he/she was such a strong person.
_____ _____ 55. I felt that we would hurt each other if either of us went away from the other. *em
_____ _____ 56. Worried a lot about the family's financial problems.
_____ _____ 57. Made me feel that If I made even a small mistake, something bad might happen.
_____ _____ 58. Had a pessimistic outlook; often expected the worst outcome.
_____ _____ 59. Focused on the negative aspects of life or things going wrong. *nv
_____ _____ 60. Had to have everything under control.
_____ _____ 61. Was uncomfortable expressing affection or vulnerability.
_____ _____ 62. Was structured and organized; preferred the familiar over change.
_____ _____ 63. Rarely expressed anger.
Do Not Copy
_____ _____ 64. Was private; rarely discussed his/her feelings. *ei
_____ _____ 65. Would become angry or harshly critical when I did something wrong.
_____ _____ 66. Would punish me when I did something wrong.
_____ _____ 67. Would call me names (like "stupid" or "idiot") when I made mistakes.
_____ _____ 68. Blamed people when things went wrong. *pu
_____ _____ 69. Was concerned with social status and appearance.
_____ _____ 70. Placed strong emphasis on success and competition.
_____ _____ 71. Was concerned with how my behavior would reflect on him/her in the eyes of others.
_____ _____ 72. Seemed to love me more or pay more attention to me when I excelled. *as