Form
What is your age?
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What is your gender?
Female
Male
Non-binary
Other
Are you Polyamorous or Monogamous?
Polyamorous
Monogamous
Other
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Do you have any mental health disorders? Please note if they are diagnosed by a licensed professional or self diagnosed.
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Please use this link and take this quiz on attachment styles. There is a short version that will take about 3-5 min and a long one that takes about 15 min. Notate your results and which quiz you chose here. https://www.web-research-design.net/cgi-bin/crq/crq.pl
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Please take this short quiz and notate your score. https://openpsychometrics.org/tests/NPI/
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Please check the following that you believe apply to you.
I tend to attribute my worth to how others see me.
I am slow to anger.
I tend to think in extremes in relationships.
Sometimes I feel empty and I don’t know why.
Some people may describe me as impulsive or self destructive.
I have a past with self harm.
I have an intense fear of abandonment.
I am secure in myself and I know who I am.
I am able to calmly work through problems with my partner.
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