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Bethany
Miller, Psy.D.
Licensed Psychologist #17138
3020 Fillmore St.
San
Francisco, CA 94123
-------------------------
1683
Novato Blvd. Suite 1B
Novato,
CA 94947
415-518-7999
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Check-Up
DO
YOU HAVE GOOD BOUNDARIES?
By
Bethany Miller, Psy.D.
Circle the most appropriate number for each statement.
1 = Never 5 = Always
| 1.
I take the time to decide whether or not potential
relationships will be good for me. |
1
2 3 4 5 |
| 2. I
can say NO to things I do not want to do. |
1
2 3 4 5 |
| 3. I
have self -respect (I don't give in too much in the hope that
someone will like me). |
1
2 3 4 5 |
| 4.
I don't let people walk all over me. |
1
2 3 4 5 |
| 5.
I am able to trust others appropriately. |
1
2 3 4 5 |
| 6.
I maintain my personal values, despite what others want. |
1
2 3 4 5 |
| 7.
I know who I am and what I want. |
1
2 3 4 5 |
| 8.
I can tell when someone is invading my personal boundaries. |
1
2 3 4 5 |
| 9.
I am able to communicate my needs and wants. |
1
2 3 4 5 |
| 10.I
don't allow others to take advantage of my generosity and I
don't take advantage of others. |
1
2 3 4 5 |
Score:
40 – 50
Congratulations! You
have strong, healthy boundaries.
30 – 39
You have some good boundaries, but there is room for improvement.
You may want to explore ways that you feel insecure or taken
advantage of.
Under 30 Time
to do a self-assessment. Do
you feel that you that people like a doormat? Are you too nice? Do you
feel unsure of yourself? Talking to a therapist might help you clarify
your obstacles to building healthy boundaries.
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