Answers marked with a * are required.
 
1. The narcissist(s) in your life is/was (select all that apply):


*
      
 
 
 
2. Are you currently in a relationship with a narcissist?
      

 
 
 
3. How long has or had the relationship been in existence? (select number of years, round up to closest year or select 0 if relationship lasted under 6 months- select 50+  if over 50yrs.)

Note: relationship end date is based on when you went "no contact"
      

 
 
 
4. If the relationship has ended, who ended it?

If the relationship has ended, but the narcissist is still making their presence known to you via others, email, drive-bys, calls, emails, or proxy AKA "hoovering" please select answers 3 or 4.

If the relationship has ended, but YOU are making YOUR presence known to them via others, email, drive-bys, calls, emails, or proxy AKA "hoovering" please select answers 5 or 6.
      

 
 
 
5. Were you raised in an abusive environment?
      

 
 
 
6. If you were raised in an abusive environment, what type of abuse did you endure:
      
 
 
 
7. Did you suffer a recent loss prior to meeting the narcissist?
      

 
 
 
8. Have you ever been diagnosed with a mental illness or disorder? If so, did this disagnosis occur before or after meeting the N?
      

 
 
 
9. Age of primary narcissist:
      

 
 
 
10. How long were you in the relationship before you noticed abuse such as the narcissist demeaning you, or putting you down? (select number of years, round up to closest year or select 0 if relationship lasted under 6 months- select 50+  if over 50yrs.)
      

 
 
 
11. Did you have a religious belief encouraging you to stay?
      

 
 
 
12. Please select your personality type- select one that describes you most:
Codes are based on Myer-Briggs
16 different types are often referred to by an abbreviation of four letters, the initial letters of each of their four type preferences (except in the case of iNtuition, which uses N to distinguish it from Introversion). For instance:
  • ESTJ - Extraversion, Sensing, Thinking, Judging
  • INFP - Introversion, iNtuition, Feeling, Perceiving
FOR A QUICK TEST, GO HERE QUICK PERSONALITY TEST

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13. Did the narcissist cheat?
If yes, please note number of known affairs.
      
 
 
 
14. Do you feel responsible for another persons actions?
      

 
 
 
15. Do you suppress your thoughts or feelings only later to "explode" in anger?
      

 
 
 
16. What is the biggest red flga/sign/symptomof narcissism you experienced:

(According to Nazare-Aga to be a narcissist, at least 14 items from this list must be present as permanent traits. For example almost everyone has told a lie at some points in their life, but lying only applies if a person uses lies as a habitual strategy)

      

 
 
 
17. Check ALL red flags/symptoms/ symptoms your experienced:
(According to Nazare-Aga to be a psychopath, at least 14 items from this list must be present as permanent traits to be diagnosed a narcissist. For example almost everyone has told a lie at some points in their life, but lying only applies if a person uses lies as a habitual strategy)
      
 
 
 
18. Was the narcissist emotionally, physically and/or sexually abusive?
      
 
 
 
19. Do you find yourself repeating one bad relationship after another?
      

 
 
 
20. How many times has narcissist been married?
      
 
 
 
21. Was the narcissist professionally diagnosed with any personality disorder or mental illness? If so, what?
      
 
 
 
22. Do you have hope the narcissist will get better and/or change?
      

 
 
 
23. As a victim of a narcissist, do you feel that part of who you used to be is now gone and you want the old you back?
      
 
 
 
24. Do you think your narcissist was and or is evil or effected by evil?


Other (Please Specify)
 
 
 
25. Were you warned by others about the narcissist?
      
 
 
 
26. Have you warned others about the narcissist?
      
 
 
 
27. Has the experience with the narcissist taught you anything? If so, please share!
      
 
 
 
28. Please enter your email address to be placed in the drawing for the book!

Monthly letter for victims of psychopaths and malignant narcissists.
Each month the "Letter" will bring anecdotes about celebrity
narcissists, research about psychopathy and narcissism and highlight
issues pertinent to those recovering from narcissistic abuse.
http://groups.google.com/group/Concordia-res-parvae-crescent?hl=en
-~----------~----~----~----~------~----~------~--~---
My blog on psychopaths and narcissists:
http://holywatersalt.blogspot.com
 
 
 
 
 
 

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