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Attachment Trauma Assessment

Attachment trauma impacts three areas of a relationship:

The ability to regulate emotions,

The ability to sustain a positive sense of self,

And the ability to feel close and connected to ones partner.

The following questions address these areas so you can better understand the impact on your relationship. 

Disclaimer: This assessment is not meant as a diagnosis, nor is it an indicator of any mental health disorder

To what extent does each statement reflect how you feel about your current relationship.

Start

Question 1 of 20

 

1.  I tend to keep my emotions to myself.

A

Yes

B

No

Question 2 of 20

 

2.  I can get easily triggered by my partners' tone of voice. 

A

Yes

B

No

Question 3 of 20

 

3.  Sometimes I have intense emotional reactions to my partner.

A

Yes

B

No

Question 4 of 20

 

 4. I often feel confused by my emotions. 

A

Yes

B

No

Question 5 of 20

 

 5.  I have trouble calming down after I get upset.

A

Yes

B

No

Question 6 of 20

 

6.  I often distance myself from my emotions so I don't get overwhelmed. 

A

Yes

B

No

Attachment Trauma Assessment

Please answer this next section in the same manner as above. 

Question 8 of 20

 

1.  I often feel abandoned or rejected by my partner. 

A

Yes

B

No

Question 9 of 20

 

2.  I often get scared to let my guard down and get close to my partner. 

A

Yes

B

No

Question 10 of 20

 

3.  I often feel helpless to get the closeness I desire.

A

Yes

B

No

Question 11 of 20

 

4.  I often feel my partner would never want to see the real me.

A

Yes

B

No

Question 12 of 20

 

5.  I feel it is necessary to keep my partner at arm’s length to maintain your independence.

A

Yes

B

No

Question 13 of 20

 

6.  Deep down I often feel broken or damaged as a person.

A

Yes

B

No

Attachment Trauma Assessment

Please answer this next section in the same manner as above. 

 

Question 15 of 20

 

1.  It is difficult to be vulnerable with my partner for fear that it will be used against me.

A

Yes

B

No

Question 16 of 20

 

 

2.      I question my partners’ motives and intentions at times.

A

Yes

B

No

Question 17 of 20

 

 

3.      I get jealous or suspicious of my partner sometimes.

A

Yes

B

No

Question 18 of 20

 

4.  I often avoid conflict in my relationship.

A

Yes

B

No

Question 19 of 20

 

5.   I often feel disconnected from your partner much of the time.

A

Yes

B

No

Question 20 of 20

 

6.      I can’t seem to get enough attention from my partner.

A

Yes

B

No

Confirm and Submit