Restoring Purpose Self-Assessment
Discovering betrayal can turn your world upside down. This short, confidential self-assessment can help you see how much it may be affecting you. It is not a diagnosis, and nothing you feel is wrong. Answer each statement based on the last few months. Your answers are anonymous.
I can't stop replaying what I discovered or learned about my partner's behavior.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I check my partner's phone, accounts, or whereabouts just to feel safe.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I feel on edge, anxious, or easily startled.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I have trouble sleeping, eating, or concentrating.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I question my worth, my attractiveness, or what is wrong with me.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I feel like I can't trust my own judgment or sense of what's real.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I've pulled away from friends, family, or church because of shame or secrecy.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I feel I have no one safe to talk to about this.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
Anger, grief, or numbness feel overwhelming.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
My relationship with God has been shaken by what happened.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I feel responsible for my partner's choices, or for fixing him.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
I feel hopeless or like I can't go on.
*
Never (0)
Sometimes (1)
Often (2)
Almost always (3)
Total Score
Would you like someone from our team to reach out?
*
Yes
No
First Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
See My Results
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