How My Relationship Affects My Life
Emotional Health
Do I feel better or worse about myself since I have been in this relationship?
Do I think that "I am nothing" without this person – that I couldn't go on without him/her?
Do I feel more or less stressed, depressed, or anxious?
Do I cry more or less frequently since I have been in this relationship?
Do I have more trouble sleeping at night or sleep more than usual since I've been in this relationship?
Physical Health
Have I ever had harm to my body as a result of a fight with this person?
Have I ever been so upset about this relationship that I became physically ill?
Does this person threaten me physically or do dangerous things when I am with them?
