Name
*
First Name
Last Name
Email
*
example@example.com
1. Are you confident in your ability to hold healthy boundaries with your ex-partner?
*
Yes
No
2. Do you trust your instincts when it comes to making decisions about this relationship?
*
Yes
No
3. Are you able to recognize your ex-partner’s manipulative behaviors?
*
Yes, most of the time
Not until later
4. Are you confident about your ability to handle difficult conversations with your ex-partner?
*
Yes
No
5. Are you able to stay calm and composed during conflicts or hot exchanges with your ex-partner?
*
Yes
No
6. Do you find it easy to trust your judgment?
*
Sometimes
Rarely
7. Are you able to manage stress effectively during this transition?
*
Almost always
Sometimes
8. Do you have a support network you can rely on for emotional support?
*
Yes
No
9. Are you able to balance your own needs with the needs of your children during this time?
*
Yes
No
10. Do you feel confident in handling legal and custody issues related to your ex-partner?
*
Usually
Sometimes
11. Is your own unresolved emotional issues being activated by this breakup?
*
Usually
No, it's difficult
12. Are you able to emotionally regulate yourself and avoid being activated by your ex-partner's actions?
*
Often
Sometimes
13. Are you managing the external interference from family and friends regarding this relationship?
*
Usually
Sometimes
14. Do you feel that you are making progress in your emotional healing journey?
*
Most of the time
Not really
15. Are you emotionally able to stay centered to prevent burnout?
*
Usually
Sometimes
Total Score
Outcome
Submit
Should be Empty: