If you are participating in this class via any online means, please print or copy this worksheet to paper so that you can fully participate on this exercise. Please do not submit this worksheet for a grade. It is for your own education and study progress. Please place a 1 (one) on the space beside each cue which is true for you. When you are done, add up your ones for each section.

Healthy Cues

  • __________ Do you often feel secure in your relationship?
  • __________ Do you often trust others?
  • __________ Do you feel relaxed in your relationship?
  • __________ Do you like who you are in your relationship?
  • __________ Do you know you have many good things to share with others?
  • __________ Do you feel beautiful/handsome and loveable?
  • __________ Do you think you are trustworthy in your relationship?
  • __________ Are you open and honest with yourself and others?
  • __________ Do you communicate your feelings to others?
  • __________ Do you desire relationships with good and healthy people?
  • __________ Are you patient in your relationship? Do you know they will develop gradually?
  • __________ Are you aware of your freedom of choice in your relationship?
  • __________ TOTAL

Unhealthy Cues

  • __________ Do you ignore your own feelings, but feel another’s feelings intensely?
  • __________ Do you take orders from others or do things even if you do not want to?
  • __________ Do you adapt to the needs, wants, or expectations of others?
  • __________ Do you give give give?
  • __________ Do you blame yourself for the behaviors of others or for the conflicts in your relationship?
  • __________ Do you believe others will be strong for you?
  • __________ Do you expect others to meet your needs whether or not you communicate these needs?
  • __________ Do you feel unequal in your relationship?
  • __________ Do you apologize frequently for your behavior?
  • __________ Do you often feel drained or exhausted in your relationship?
  • __________ Do you believe you do not deserve to be loved?
  • __________ TOTAL

So, which one won?

Do you need to make life changes? It’s totally up to you.