1.- To which parent did you feel the closest?
2.- What is the first memory of being separated from your parents? Describe the experience and what you remember about your emotional response.
3.- Did you experience feelings of rejection from parents and if so describe how, what, when and where? Provide examples.
4.- Did you experience feelings of being frightened by your parents?
5.- Why do you think your parents behaved as they did?
6.- Did you experience the loss of a parent or other close loved one while you were a young child--for example, a sibling, or a close family member?
7.- From what you can gather, did you experience emotional parental disconnection or misattunement – i.e. due to a parent’s emotional issues, physical ailments, mental illness, addictions or their own unresolved trauma?
8.- Did you lose any other important persons during your childhood?
9.- What five adjectives would you use to describe your parents?
Mother Adjectives:
Father Adjectives:
10.- What would you do when distressed or hurt?
11.- Who did you turn to if upset or distressed?
12.- Other than any difficult experiences you've already described, have you had any other experiences that you would regard as particularly traumatic (emotionally overwhelming, losses, accidents, etc.)
13.- Were there any other adults with whom you were close, like parents, as a child?
14.- In general, how do you think your overall experiences with your parents have affected your adult personality?
15.- Is there any particular lesson that you feel you learned above all from your own childhood experiences? i.e. something you feel you might have gained from the kind of childhood you had.
