Trust Questionnaire

This Trust Questionnaire is not intended to be a diagnostic tool but instead is meant to give you and I a better idea what trust looks like in your life and your relationships.

Answer the questions below to the best of your ability.

Rate your answers as follows:

(1) Agree
(2) Neutral
(3) Disagree

1. I believe that most people are basically good.

1	2	3

2. I tend to trust people until they hurt me.

1	2	3

3. I forgive too easily and trust people that I should not.

1	2	3

4. I am able to easily forgive others if they hurt me.

1	2	3

5. I wish I could trust my partner more than I do.

1	2	3

6. I wish my partner could trust me more than he/she does.

1	2	3

7. Trust issues have been a significant concern in my past relationships.

1	2	3

8. There tends to be an air of suspicion in my relationship.

1	2	3

9. My difficulty trusting has lead me to try to control others.

1	2	3

10. There have been significant events in my life that make it hard for me to trust others.

1	2	3

11. I feel I will never trust my partner because of a specific thing he/she has done.

1	2	3

12. I feel I will never trust my partner, but I am not sure why.

1	2	3

13. There are significant past events in my current relationship that are frequently brought up in arguments.

1	2	3

14. My partners' difficulty trusting has lead him/her to try to control me.

1	2	3

15. I am able to forgive quickly.

1	2	3

16. If my partner makes a big mitstake that affects me, I have a hard time forgiving him/her.

1	2	3

17. My partner always forgives me, no matter what I do.

1	2	3

Congratulations on completing this questionnaire. Enter your contact information below and I will contact you within the next day to discuss your results and find out if you would like to schedule an appointment.

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Dr. Randi Fredricks Ph.D. is a Psychotherapist and licensed as a Marriage Family Therapist MFC 47803. Dr. Fredricks is not licensed with the California Medical
Board or the California Bureau of Naturopathic Medicine. © 2012 Randi Fredricks, Marriage and Family Therapist, Inc. All rights reserved. Serving
San Jose, Sunnyvale, Santa Cruz, Palo Alto, Monte Sereno, Los Gatos, Cupertino, Mountain View, Scotts Valley, Campbell, Willow Glen, and Milpitas CA.