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* 1. On a scale from 1 (Not At All True) to 7 (Absolutely True), please rate the statements below.

  Not At All True   1 2 3 4 5 6 Absolutely True  7
I am all I need
I am worthy
I have high self-esteem
I can be alone
I trust people
I fear abandonment
I have high self-love
Making relationship choices comes easy to me
I have separation anxiety
I am not afraid of rejection
I don’t trust women       
I am not afraid of commitment 
I have difficulty sharing, opening up, and expressing myself
I work hard to be noticed and valued
I am eager to seek out new and exciting relationships
I have healed my relationship wounds
I am enough
I have high self-worth
I enjoy caring about myself
I don’t trust men
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