1. Can you tell us your age please?
2. How do you describe your gender?
3. Are you currently in a relationship?
This question requires an answer
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. 1. I think about my partners romantic or sexual past every day.
7. 2. I feel an on-going or frequent need to ask my partner about their past.
8. 3. I have looked at my partner’s private diary or searched on social media for more information about their sexual or romantic past.
9. 4. I sometimes gain immediate, but temporary relief when my partner answers questions I ask them about their past.
10. 5. I agonise over the choices my partner has made about their past relationships and/or sexual encounters.
11. 6. I find myself imagining my partner with their past partners.
12. 7. I wish partners had ‘saved themselves’ for me.
13. 8. I resent or regret how my partner once shared their home/life/holidays/vacations/friends/family with another/others.
14. 9. When thoughts of my partner’s past come to mind, I experience anger, anxiety, disgust or jealousy.
15. 10. My partner feels judged, harassed, labelled, pressured or intruded-upon by my jealous behaviours or attitudes.