MOTHER	FATHER	DESCRIPTION
__________	__________	1.  Loved me, treated me as someone special.
__________	__________	2.  Spent time with and paid attention to me.
__________	__________	3.  Gave me helpful guidance and direction.
__________	__________	4.  Listened to me, understood me, shared feelings with me.
__________	__________	5.  Was warm and physically affectionate.
		*ed
__________	__________	6.  Died or left the house permanently when I was a child.
__________	__________	7.  Was moody, unpredictable, or an alcoholic.
__________	__________	8.  Preferred my brother(s) or sister(s) to me.
__________	__________	9.  Withdrew or left me alone for extended periods.
		*ab
__________	__________	10.  Lied to me, deceived me, or betrayed me.
__________	__________	11.  Abused me physically, emotionally, or sexually.
__________	__________	12.  Used me to satisfy his/her needs.
__________	__________	13.  Seemed to get pleasure from hurting people.
		*ma
__________	__________	14.  Worried excessively that I would get hurt.
__________	__________	15.  Worried excessively that I would get sick.
__________	__________	16.  Was a fearful or phobic person.
__________	__________	17.  Overprotected me.
		*vh
__________	__________	18.  Made me feel I couldn't rely on my decisions or judgment.
__________	__________	19.  Did too many things for me instead of letting me do things on my own.
_________	__________	20.  Treated me as if I were younger than I really was.
		*di
__________	__________	21.  Criticized me a lot.
__________	__________	22.  Made me feel unloved or rejected.
__________	__________	23.  Treated me as if there was something wrong with me.
__________	__________	24.  Made me feel ashamed of myself in important respects.
		*ds
__________	__________	25.  Never taught me the discipline necessary to succeed in school.
__________	__________	26.  Treated me as if I was stupid or untalented.
__________	__________	27.  Didn't really want me to succeed.
__________	__________	28.  Expected me to be a failure in life.
		*fa
__________	__________	29.  Treated me as if my opinions or desires didn't count.
__________	__________	30.  Did what he/she wanted, regardless of my needs.
__________	__________	31.   Controlled my life so that I had little freedom of choice.
__________	__________	32.  Everything had to be on his/her terms.
		*sb
__________	__________	33.  Sacrificed his/her own needs for the sake of the family.
__________	__________	34.  Was unable to handle many daily responsibilities, so I had to do more than my share.
__________	__________	35.  Was unhappy a lot and relied on me for support and understanding.
__________	__________	36.  Made me feel that I was strong, and should take care of other people.
		*ss
__________	__________	37.  Had very high expectations for him/herself.
__________	__________	38.  Expected me to do my best at all times.
__________	__________	39.  Was a perfectionist in many areas; things had to be “just so”.
__________	__________	40.  Made me feel that almost nothing I did was quite good enough.
__________	__________	41.  Had strict, rigid rules of right and wrong.
__________	__________	42.  Became impatient if things weren't done properly or quickly enough.
__________	__________	43.  Placed more importance on doing things well than on having fun or relaxing.
		*us
__________	__________	44.  Spoiled me, or was overindulgent, in many respects.
__________	__________	45.  Made me feel I was special, better than most other people.
__________	__________	46.  Was demanding; expected to get things his/her way.
__________	__________	47.  Didn't teach me that I had responsibilities to other people.
		*et
__________	__________	48.  Provided very little discipline or structure for me.
__________	__________	49.  Set few rules or responsibilities for me.
__________	__________	50.  Allowed me to get very angry or lose control.
__________	__________	51.  Was an undisciplined person.
		*is
__________	__________	52.  We were so close that we understood each other almost perfectly.
__________	__________	53.  I felt that I didn't have enough individuality or sense of self separate from him/her.
__________	__________	54.  I felt that I didn't have my own sense of direction while I was growing up because he/she was such a strong person.
__________	__________	55. I felt that we would hurt each other if either of us went away from the other.
		*em
__________	__________	56.  Worried a lot about the family's financial problems.
__________	__________	57.  Made me feel that If I made even a small mistake, something bad might happen.
__________	__________	58.  Had a pessimistic outlook; often expected the worst outcome.
__________	__________	59.  Focused on the negative aspects of life or things going wrong.
		*np
__________	__________	60.  Had to have everything under control.
__________	__________	61.  Was uncomfortable expressing affection or vulnerability.
__________	__________	62.  Was structured and organized; preferred the familiar over change.
__________	__________	63.  Rarely expressed anger.
__________	__________	64.  Was private; rarely discussed his/her feelings.
		*ei
__________	__________	65.  Would become angry or harshly critical when I did something wrong.
__________	__________	66.  Would punish me when I did something wrong.
__________	__________	67.  Would call me names (like “stupid” or “idiot”) when I made mistakes.
_________	__________	68.  Blamed people when things went wrong.
		*pu
_________	__________	69.  Was concerned with social status and appearance.
__________	__________	70.  Placed strong emphasis on success and competition.
__________	__________	71.  Was concerned with how my behavior would reflect on him/her in the eyes of others.
__________	__________	72.  Seemed to love me more or pay more attention to me when I excelled.
		*as