Instructions: Read the following descriptive statements. Mark the answer that most accurately fits how you respond. Even if the situations described have not happened (for instance, your loved one does not have children to neglect), answer based upon what you realistically believe you would do if you were in a comparable situation.
For the most accurate results, ask one person from each major sphere of your life (i.e, home, work, social, church small group, etc…) to complete this survey on your behalf and compare results. If you are willing this is another effective way to begin to enlist those who know and love you to be part of your community of support. Note: This assessment assumes the dominant dysfunctional relationship in your life is at home. If that is not the case, you will need to substitute work, school, church, or other social setting to make items match your circumstance.
Please remember this assessment looks at how you are interacting that allows the dysfunction to perpetuate. This is not meant to imply the dysfunction is your fault. The goal of this study is to help you learn to respond in as God-honoring and healthy way possible to an unhealthy relationship. That begins with seeing how your actions are allowing the dysfunction to fester.