How old are you?
Questionnaire · 30 questions
Screening questionnaire for victims of narcissistic abuse
Describe your situation in your own words
Answer as precisely as possible, keeping things concrete and giving examples when useful. Your full responses should not exceed the equivalent of four Word pages.
Before you begin
- Answer the 30 questions in order.
- You can answer briefly when a question does not require further explanation.
- For important behaviours, give a concrete example if possible.
- After payment, send all your responses to martrencharluc@gmail.com.
Your situation
How old is the person you suspect of being a narcissistic manipulator?
What is their sex?
What is your relationship to this person (spouse, former partner, manager…)?
What makes you think they are a narcissistic manipulator?
How do you feel when you are with this person? Has it always been this way?
The person’s behaviour
Does this person lie? Often?
Has this person criticised or belittled you? How?
Has this person belittled others, to your knowledge?
Has this person tried to manipulate you? How?
Has this person demanded that you be perfect?
Does this person often change their opinion?
Does this person tyrannise others while presenting themselves as the victim?
Is this person jealous? In what way?
Is this person often contemptuous? In what way?
Does this person shift responsibility onto others? How?
Is their communication vague (strange, ambiguous remarks full of implications)?
Do they remain silent when you ask a question?
The relationship’s effects on you
During your relationship with this person, has your self-esteem decreased? Is this mainly because of this person?
Do you feel less free in their presence? Does this person act in ways that restrict your freedom?
Do you feel dependent on this person? Have they done things to make you dependent?
Do you feel drained of energy in this person’s presence?
Do you feel distressed in this person’s presence?
Do you sometimes feel like a little girl or boy rather than an adult when you are with them, or since the relationship began?
Do you feel less at ease in their presence?
Do you feel you have lost your bearings when you are with them, or since the relationship began?
Have you ever felt bad for hours after a phone call with them? Has this happened several times?
Violence and personal context
Has this person been verbally violent towards you? How?
Has this person been physically violent towards you? How?
Would you describe yourself as empathic or highly sensitive? To your knowledge, are you gifted?
Once your responses are complete
If you have not yet purchased the screening, return to the screening page. After payment, email your responses to martrencharluc@gmail.com.
About the result
Screening concerns the likelihood of narcissistic abuse or coercive control based on your account. It does not constitute an official diagnosis of the person described, which would require direct assessment.
