Printer-Friendly Document Printer-Friendly Version

Survey on Personal Boundaries (SPB)

This questionnaire is designed to gather information to determine if you have Personal Boundary Issues. This information is very important to counselors, and may help determine if you need treatment in the area of Boundaries. Please answer all questions; your honesty in answering these questions is a significant step in beginning the process of recovery.

2003 © Gregory L. Jantz, Ph.D.

Never Seldom Ocassionally Often Usually
(1) (2) (3) (4) (5)
1. I can't make up my mind.
2. I have difficulty saying "no" to people.
3. I feel as if my happiness depends on other people.
4. It's hard for me to look a person in the eyes.
5. I find myself getting involved with people who end up hurting me.
6. I trust others.
7. I would rather attend to others than attend to myself.
8. Other's opinions are more important than mine.
9. People take or use my things without asking me.
10. I have difficulty asking for what I want or what I need.
11. I lend people money and don't seem to get it back on time.
12. Some people I lend money to don't ever pay me back.
13. I feel ashamed.
14. I would rather go along with another person or other people than express what I'd really like to do.
15. I feel bad for being so "different" from other people.
16.I feel anxious, scared or afraid.
17. I spend my time and energy helping others so much that I neglect my own wants and needs.
18. It's hard for me to know what I believe and what I think.
19. I feel as if my happiness depends on circumstances outside of me.
20. I feel good.
21. I have a hard time knowing what I really feel.
22. I find myself getting involved with people who end up being bad for me.
23. It's hard for me to make decisions.
24. I get angry.
25. I don't get to spend much time alone.
26. I tend to take on the moods of people close to me.
27. I have a hard time keeping a confidence or secret.
28. I am overly sensitive to criticism.
29. I feel hurt.
30. I tend to stay in relationships that are hurting me.
31. I feel emptiness, as if something is missing in my life.
32. I tend to get caught up "in the middle" of other people's problems.
33. When someone I'm with acts up in public, I tend to feel embarrassed.
34. I feel sad.
35. It's not easy for me to really know in my heart about my relationship with a Higher Power or God.
36. I prefer to rely on what others say about what I should believe and do about religious or spiritual matters.
37. I tend to take on or feel what others are feeling.
38. I put more into relationships that I get out of them.
39. I feel responsible for other people's feelings.
40. My friends or acquaintances have a hard time keeping secrets or confidences which I tell them.

. . .

Press 'Done' and a new page will come up with your score.

Survey taken from "Boundaries and Relationships", by Charles L. Whitfield, MD. Scoring created by The Center

The Center
Toll-Free
E-Mail Us