FACSAFoundation.org Shattering The Silence Tour Documentary Project February 2015 Volume 3 | Page 100

Circle all that apply. Drug/Alcohol Sexual Depression Suicidal Drama Addiction Addiction Cutting Addiction PTSD 23) I have problems trusting others. Circle One Strongly Agree Disagree Strongly Agree Disagree Doesn’t Apply 24) My family and I have a close relationship. Circle One Strongly Agree Disagree Strongly Agree Disagree Doesn’t Apply 25) I trust my partner. Circle One Strongly Agree Disagree Strongly Agree Disagree Doesn’t Apply 26) I respect my partner. Circle One Strongly Agree Agree Disagree Strongly Disagree Doesn’t Apply Weight Issues Cutting