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Not at all
like me
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Somewhat
like me
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Very much
like me
|
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1.
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I find it difficult to
depend on other people.
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1
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2
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3
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4
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5
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2.
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It is very important to
me to feel independent.
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1
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2
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3
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4
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5
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3.
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I find it easy to get
emotionally close to others.
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1
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2
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3
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4
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5
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4.
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I want to merge
completely with another person.
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1
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2
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3
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4
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5
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5.
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I worry that I will be
hurt if I allows myself to become too close to
others.
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1
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2
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3
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4
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5
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6.
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I am comfortable without
close emotional relationships.
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1
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2
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3
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4
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5
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7.
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I am not sure that I can
always depend on others to be there when I need them.
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1
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2
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3
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4
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5
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8.
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I want to be completely
emotionally intimate with others.
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1
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2
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3
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4
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5
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9.
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I worry about being
alone.
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1
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2
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3
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4
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5
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10.
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I am comfortable
depending on other people.
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1
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2
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3
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4
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5
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11.
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I often worry that
romantic partners don't really love me.
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1
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2
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3
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4
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5
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12.
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I find it difficult to
trust others completely.
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1
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2
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3
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4
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5
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13.
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I worry about others
getting too close to me.
|
1
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2
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3
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4
|
5
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14.
|
I want emotionally close
relationships.
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1
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2
|
3
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4
|
5
|
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15.
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I am comfortable having
other people depend on me.
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1
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2
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3
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4
|
5
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16.
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I worry that others
don't value me as much as I value them.
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1
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2
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3
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4
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5
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17.
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People are never there
when you need them.
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1
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2
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3
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4
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5
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18.
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My desire to merge
completely sometimes scares people away.
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1
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2
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3
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4
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5
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19.
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It is very important to
me to feel self-sufficient.
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1
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2
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3
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4
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5
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__________________________________________________________________________________________
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Not at all
like me
|
|
Somewhat
like me
|
|
Very much
like me
|
|
20.
|
I am nervous when anyone
gets too close to me.
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1
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2
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3
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4
|
5
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21.
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I often worry that
romantic partners won't want to stay with me.
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1
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2
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3
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4
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5
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22.
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I prefer not to have
other people depend on me.
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1
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2
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3
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4
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5
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23.
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I worry about being
abandoned.
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1
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2
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3
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4
|
5
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24.
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I am somewhat
uncomfortable being close to others.
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1
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2
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3
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4
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5
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25.
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I find that others are
reluctant to get as close as I would like.
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1
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2
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3
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4
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5
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26.
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I prefer not to depend
on others.
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1
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2
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3
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4
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5
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27.
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I know that others will
be there when I need them.
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1
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2
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3
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4
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5
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28.
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I worry about having
others not accept me.
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1
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2
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3
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4
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5
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29.
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Romantic partners often
want me to be closer than I feel comfortable being.
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1
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2
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3
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4
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5
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30.
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I find it relatively
easy to get close to others.
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1
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2
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3
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4
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5
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