1. What is your age? Under 18 Years Old 18 to 24 Years Old 25 to 30 Years Old 31 to 40 Years Old 41 to 50 Years Old 51 to 60 Years Old Over 60 Years Old2. What is your gender? Male Female3. Does your partner look to you to meet his or her needs? (an exception would be in the case of disability or clear, negotiated agreement that involves a fair exchange) never or almost never does this infrequently does this does this sometimes frequently does this always or almost always does this4. Does she expect you to know what she expects, desires, and needs without her having to ask for it? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this5. Does he perceive you to be critical or blaming and get overly upset about it? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this6. Does she expect you to put her needs before your own? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this7. Does he seek attention in indirect ways? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this8. Does she expect you to openly admire her? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this9. Does he act in a childish way, emotionally, when upset: e.g., sulks or pouts. never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this10. Does she accuse you of being insensitive or uncaring, without cause or notice? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this11. Does he find fault in all of your friends? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this12. Does she become angry when challenged, even when she is confronted in a non-angry fashion? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.13. Does he not seem to recognize your feelings, either what they are or that they exist? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.14. Does she use your disclosures, your intimacies or admissions, to criticize, blame, invalidate or discount you? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.15. Is he controlling? Does he prefer to be in control so much that he will assume control without permission or consent? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.16. Does she lie, distort and/or mislead you or others? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.17. Is she competitive? Will she use any means to get what she wants? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.18. Does he have an attitude of superiority? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.19. Is she contemptuous of you and others? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.20. Is he arrogant? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.21. Is she envious of others? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.22. Is he self-centered and self-absorbed? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.23. Does she have to be the center of attention? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.24. Does she act impulsively and/or engage in reckless activities? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.25. Does he boast and brag? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.26. Is s/he insensitive to your needs? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.27. Does she make fun of others� mistakes in a mean-spirited way? Does she find joy in others' faults? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.28. Does he engage in seductive behavior? Does he try to win people over, seemingly just to see if he can? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.29. Is she vengeful? Does she take revenge in big or little ways? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.30. Does he or she expects favors, but not return them? Does s/he take and not give? never or almost never does this seldom does this does this sometimes frequently does this always or almost always does this I don't understand the question or I can't answer it.