Instructions: This is a screening questionnaire to help you determine whether you are in an unhealthy relationship that needs attention. This questionnaire is not designed to make a diagnosis or to take the place of a professional diagnosis or consultation. For each question, select yes if it is true or no if it is not true by checking the appropriate box next to the item.Your results will be emailed to you via the email provided.
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The password must have a minimum of 8 characters of numbers and letters, contain at least 1 capital letter