Toxic Relationship Testing Form

  • Toxic Relationship Test Form

    measures symptoms and severities
  • Does the same type of negative relationship experience keep happening to you?

  • Are any of your relationships painful in some way?

  • Do you ever feel abused?

  • Do you argue and make up with the same person often?

  • Do you ever make empty promises to someone else?

  • Do you ever stay quiet to keep the peace?

  • Do you have a lot of repressed anger?

  • Does anyone you know say insulting things in a nice way?

  • Do you tell someone what they want to hear, instead what you really feel?

  • Are you frightened for your safety with certain people?

  • Is someone being abusive to you daily?

  • Are you in a relationship with someone with a substance abuse problem?

  • Do you have a substance abuse issue?

  • Does it seem like you are the only one who ever changes in a relationship?

  • Do you ever manipulate someone to get what you want from them?

  • Are your silently angry at someone?

  • Do it feel like someone owes you something?

  • Is there someone who points out your flaws, picks on you, or jokes or pushes your boundaries?

  • Do you look out for others as much as you do yourself?

  • Are you tired of needy clingy people?

  • Does someone depend on you for any of their needs?

  • Do you depend on someone else for any of your needs?

  • Are you afraid to leave a situation or person because of how much you will lose?

  • Who are you willing to discuss your results with? (if other, please add their name and email address)

  • If you are in a dangerous situation, please get the help you need, contact:

    National Domestic Violence Hotline

  • By submitting I hereby confirm that the information I have given above is true, and that I will be receiving an email response to my submission and an invitation to discuss the results with a nonprofessional.

  • Should be Empty: