RetrAct Assessment

1. Question 1.

Can you tell us your age please?

2. Question 2.

. How do you describe your gender?

3. Question 3.

Are you currently in a relationship?

*

4. Question 4.

Please may we have an email address. Please double check you have this right, it is our only way of responding to you. Thank you.

Required - Required.

5. Question 5.

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

6. Question 6.

I think about my partner's romantic or sexual past every day.

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

7. Question 7.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

8. Question 8.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

9. Question 9.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

10. Question 10.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

11. Question 11.

I find myself imagining my partner with their past partners.

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

12. Question 12.

I wish partners had ‘saved themselves’ for me.

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

13. Question 13.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

14. Question 14.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required

15. Question 15.

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

True

Partly True

False

If you chose 'Partly true' say more about that here.

This is required