HomeThe Parental Relationships AssessmentThis is a quick quiz for people wondering about parental rejection.GET STARTED HERE These 31 quick, multiple choice questions about your relationship with your parents should take you about 5 minutes to complete. Please check off heartfelt answers to the following questions in order to identify your level of prejection, and discover options for healing, treatment, and maintenance (then be sure to send a link to this page to anyone you know who might be dealing with parental rejection):1. What is the longest continuous period of silence and/or emotional distance you've experienced between yourself and your mother? a. 1 day b. 2 days to a month c. 32 days up to 1 year d. more than 1 year None 2. What is the longest continuous period of silence and/or emotional distance you've experienced between yourself and your father? a. 1 day b. 2 days to 1 month c. 32 days up to 1 year d. more than 1 year None 3. How many memories of painful words of criticism or disapproval from your mother do you have today? a. 0 b. 0-because she was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 4. How many memories of painful words of criticism or disapproval from your father do you have today? a. 0 b. 0-because he was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 5. How many memories of painful or disapproving treatment from your mother do you have today? a. 0 b. 0-because she was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 6. How many memories of painful or disapproving treatment from your father do you have today? a. 0 b. 0-because he was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 7. Was there a period of time that you did not live with both parents between the ages of birth and 18 years? a. No b. 1 month up to 1 year c. 1 to 4 years d. 4 or more years None 8. How many stories about your mother's childhood has she shared with you that you remember today? a. 0 b. 0-because she was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 9. How many stories about your father's childhood has he shared with you that you remember today? a. 0 b. 0-because he was never in my life c. 1 to 3 d. 4-9 e. 10 or more None 10. How many times has your mother openly and honestly shared with you her positive feelings about you that you remember today? a. 0 b. 0-because she was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 11. How many times has your father openly and honestly shared with you his positive feelings about you that you remember today? a. 0 b. 0-because he was never in my life c. 1 to 3 d. 4 to 9 e. 10 or more None 12. Was there a period of time that you did not have contact with your maternal grandparents between the ages of birth and 18 years of age? If so, how long was it? a. No b. 1 month up to 1 year c. 1 to 4 years d. 4 or more years None 13. Was there a period of time that you did not have contact with your paternal grandparents between the ages of birth and 18 years of age? If so, how long was it? a. No b. 1 month up to 1 year c. 1 to 4 years d. 4 or more years None 14. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your mother from birth to age 4? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 15. On a scale of 1-10 (1=lowest, 10=highest), what is your current level of dissatisfaction with your relationship with your father from birth to age 4? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 16. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your mother from age 5 to age 12? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 17. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your father from age 5 to age 12? a. 1 b. 2 to 5 c. 3 to 9 d. 10 None 18. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your mother from age 13 to age 19? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 19. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your father from age 13 to age 19? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 20. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your mother from age 20 to the present? a. 1 b. 2 to 5 c. 6 to 9 d. 10 e. N/A - I am under 20 years old None 21. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with your father from age 20 to the present? a. 1 b. 2 to 5 c. 6 to 9 d. 10 e. N/A - I am under 20 years old None 22. On a scale of 1-10 (1=lowest, 10=highest), to what extent are you aware of feeling that your best and most successful life has been undermined by challenges in your relationship with one or both of your parents? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 23. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your past? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 24. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your financial situation? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 25. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your career path? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 26. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction in your relationships with your partner, children, and/or extended family? a. 1 b. 2 to 5 c. 6 to 9 d. 10 e. N/A - No partner/kids/extended family None 27. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction in your relationships with your colleagues, friends, and/or general support network? a. 1 b. 2 to 5 c. 6 to 9 d. 10 e. N/A - no colleagues/friends/support network None 28. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your relationship with God/your spiritual life/your inner life? a. 1 b. 2 to 5 c. 6 to 9 d. 10 e. N/A - No relationship with God/spiritual life/inner life None 29. On a scale of 1-10 (1=lowest, 10=highest), what is the level of your current dissatisfaction with your health? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 30. On a scale of 1-10 (1=lowest, 10=highest), to what extent are you aware of feeling that your best and most successful life has been undermined by choices you have made in response to feeling rejected by one or both of your parents? a. 1 b. 2 to 5 c. 6 to 9 d. 10 None 31. What is your age range? a. 13 to 19 b. 20 to 29 c. 30 to 39 d. 40 to 49 e. 50 to 59 f. 60 to 69 g. 70 to 79 h. 80 or above None Name Email Time's up
