Boundaries Assessment

Boundaries Assessment: Please select the word that best describes your relationship with each statement. Your results will be totaled and given to your coach. Allow your answers to inform you about the types of boundaries you may need to set.
These statements focus on your thoughts/beliefs.
I feel exhausted
- Rarely
- Sometimes
- Often
I feel ashamed
- Rarely
- Sometimes
- Often
I feel anxious/unsafe/scared/afraid
- Rarely
- Sometimes
- Often
I get angry
- Rarely
- Sometimes
- Often
I can't control/stop my anger
- Rarely
- Sometimes
- Often
I think boundaries are controlling
- Rarely
- Sometimes
- Often
Resentment and/or bitterness grip me
- Rarely
- Sometimes
- Often
I feel helpless
- Rarely
- Sometimes
- Often
I think it's selfish to take care of myself
- Rarely
- Sometimes
- Often
I'm always caring for others and not me
- Rarely
- Sometimes
- Often
I feel responsible to keep my partner from acting out
- Rarely
- Sometimes
- Often
I believe I must be obedient/submissive to my partner
- Rarely
- Sometimes
- Often
I don't feel like I deserve respect
- Rarely
- Sometimes
- Often
I don't know if my partner is acting out or sober
- Rarely
- Sometimes
- Often
I'm doing all the giving; my partner is doing all the taking
- Rarely
- Sometimes
- Often
My partner does not listen to me
- Rarely
- Sometimes
- Often
My partner is not emotionally vulnerable with me
- Rarely
- Sometimes
- Often
My partner does not own his behavior
- Rarely
- Sometimes
- Often
I'm being lied to/gaslighted/minimized/blamed/abused/ignored
- Rarely
- Sometimes
- Often
I find it challenging to make decisions
- Rarely
- Sometimes
- Often
My relationships are often difficult
- Rarely
- Sometimes
- Often
I behave passive-aggressively towards my partner
- Rarely
- Sometimes
- Often
I've forgotten who I am/I feel I've lost myself
- Rarely
- Sometimes
- Often
I fear being rejected or abandoned
- Rarely
- Sometimes
- Often
I walk on eggshells with my partner
- Rarely
- Sometimes
- Often
If my partner is not okay, I'm not okay
- Rarely
- Sometimes
- Often
If my partner is okay, I'm okay
- Rarely
- Sometimes
- Often

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Boundaries Assessment

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