ECR-R

the experiences in close relationships-revised questionnaire
Fraley, Waller, and brennan (2000)

This form is for clients of Richland Oaks Counseling Center (ROCC) only. If you do not see a clinician at ROCC, your results will not be provided to your clinician. If you are a client of Richland Oaks Counseling Center, please complete the following questionnaire. Upon submission, your responses will be provided to your ROCC clinician.

Instructions:
The statements below concern how you feel in emotionally intimate relationships. We are interested in how you generally experience relationships, not just what is happening in a current relationship. Respond to each statement by selecting a number to indicate how much you agree or disagree with the statement, using the following scale:

1 = Strongly Disagree 2 = Disagree 3 = Somewhat Disagree 4 = Neutral

5 = Somewhat Agree 6 = Agree 7 = Strongly Agree

First Name / Last Initial

My Clinician's Name

Please enter the name of the clinician who requested that you complete the questionnaire.

1. I feel comfortable depending on romantic partners.

2. My desire to be very close sometimes scares people away.

3. I prefer not to be too close to romantic partners.

4. I tell my partner just about everything.

5. I often wish that my partner's feelings for me were as strong as my feelings for him or her.

6. I worry that romantic partners won't care about me as much as I care about them.

7. Sometimes romantic partners change their feelings about me for no apparent reason.

8. I don't feel comfortable opening up to romantic partners.

9. I rarely worry about my partner leaving me.

10. I find it easy to depend on romantic partners.

11. It's easy for me to be affectionate with my partner.

12. I find it relatively easy to get close to my partner.

13. I find it difficult to allow myself to depend on romantic partners.

14. It helps to turn to my romantic partner in times of need.

15. I do not often worry about being abandoned.

16. I get uncomfortable when a romantic partner wants to be very close.

17. I often worry that my partner will not want to stay with me.

18. I worry a lot about my relationships.

19. I usually discuss my problems and concerns with my partner.

20. When I show my feelings for romantic partners, I'm afraid they will not feel the same about me.

21. I'm afraid that I will lose my partner's love.

22. I worry that I won't measure up to other people.

23. My romantic partner makes me doubt myself.

24. It makes me mad that I don't get the affection and support I need from my partner.

25. I'm afraid that once a romantic partner gets to know me, he or she won't like who I really am.

26. I am very comfortable being close to romantic partners.

27. I am nervous when partners get too close to me.

28. I talk things over with my partner.

29. When my partner is out of sight, I worry that he or she might become interested in someone else.

30. I feel comfortable sharing my private thoughts and feelings with my partner.

31. I prefer not to show a partner how I feel deep down.

32. I find that my partner(s) don't want to get as close as I would like.

33. My partner only seems to notice me when I'm angry.

34. It's not difficult for me to get close to my partner.

35. My partner really understands me and my needs.

36. I often worry that my partner doesn't really love me.

ECR-R

the experiences in close relationships-revised questionnaireFraley, Waller, and brennan (2000)

the experiences in close relationships-revised questionnaire
Fraley, Waller, and brennan (2000)