RetrAct Assessment

 

1. Can you tell us your age please?

 

2. . How do you describe your gender?

 

3. Are currently in a relationship?

 

4. Please may we have an email address *

 

5. Can you tell us your location. We do not require an address, just the country and region.

 

6. I think about my partners romantic or sexual past every day.

 

7. I feel an on-going or frequent need to ask my partner about their past.

 

8. I have looked at my partner’s private diary or searched on social media for more information about their sexual or romantic past.

 

9. I sometimes gain immediate, but temporary relief when my partner answers questions I ask them about their past.

 

10. I agonise over the choices my partner has made about their past relationships and/or sexual encounters.

 

11. I find myself imagining my partner with their past partners.

 

12. I wish partners had ‘saved themselves’ for me.

 

13. I resent or regret how my partner once shared their home/life/holidays/vacations/friends/family with another/others.

 

14. When thoughts of my partner’s past come to mind, I experience anger, anxiety, disgust or jealousy.

 

15. My partner feels judged, harassed, labelled, pressured or intruded-upon by my jealous behaviours or attitudes.

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