Personal Relationships Checklist
Check "Yes" or "No" to each question that applies:
1. Does your partner or spouse ever hit you? Yes  No
2. Does your partner ever force you to have sex? Yes  No
3. Does your partner verbally abuse or disrespect you by calling you names, belittling you or
threatening you?
Yes  No
4. Does your partner try to restrict whom you spend time with or limit other choices in your life? Yes  No
5. Does your partner consistently assign unfounded malicious intent to your actions and opinions? Yes  No
6. Do you find yourself afraid of disagreeing with or opposing your partner? Yes  No
7. Does this relationship make you feel the way you did as a child? Yes  No
8. Do you feel dominated or controlled by
your partner?
Yes  No
SCORING: If you answered "YES" to any of the above questions, you will need to determine whether your childhood abuse history is shaping your perceptions of your current relationship(s) or whether the relationship is, in fact, abusive in some way.

Print this checklist if you need your answers for reference. Your entries will be cleared once you leave this page.

RECOMMENDATIONS: If you are being hit, forced to have sex, or criticized or verbally abused, you must take steps to stop this very real and potentially dangerous pattern. If you are being dominated in one or more destructive ways, you should seek professional help to figure out how to rectify or leave the relationship or insist that your partner get help to eliminate the abusive behavior. In more subtle instances, where you are unclear as to whether your perceptions of abuse are based on the past or on the present, you may also need professional help to understand fully the interpersonal dynamics that are being played out in your relationship(s). Again, your ASCA meeting Co-Secretaries might have local resource lists to help you find the assistance you need.

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Survivor to Thriver, Page 27
© 2007 THE MORRIS CENTER, Revised 11/06