Irational Dysfunctionality Questionnaire

How dysfunctional are you and your family?  Simply complete this form to find out.
Select the answer that most closely represents your situation.
When you have completed the form, you will have the opportunity to comment on your diagnosis


About You

What is your relationship with yourself?

Care and respect for body and mind
Love
Indifference
Hate

How do you respond when you meet someone for the first time?

Friendly conversation, attempt to get to know them
Silence
Distrustful, become aggressive and competitive

How do you sleep?

After a hot milky drink
After two pints lager
After six pints lager
After six pints lager and four hours late night television
Sleep fitfully a couple of hours in the afternoon of the next day
I don't sleep

What is your relationship to food?

I eat the right amount
I eat too much
I eat too much, then I make myself throw up
I eat too little
I do not eat

What drugs do you take?

None
Tea, coffee
Alcohol, nicotine
Cannabis
Amphetamines, solvents
Cocaine, heroin
Medically prescribed anti-depressants
Medically prescribed anti-psychotics

Have you been sexually abused?

No
Not as far as I'm aware
Yes, by siblings
Yes, by grandparents
Yes, by step-parent
Yes, by parents
Yes, by satanic abuse ring


About Your Relationships

What is the average length of your relationships?

Over 5 years
Over 1 year
Over 1 month
One night
Not applicable - do not form relationships

How do you deal with conflict?

I accept others have another point of view, and can negotiate and compromise
I am compliant and I appease bullies
I manipulate to get my own way, using guilt, confusion and tantrums
I bully, dominate and threaten to get my own way
I'm a loner, have no friends and no contact with my relatives, therefore I have no conflict

When you do have sex?

Within the confines of a loving, stable relationship
With myself
I'm celibate
With anyone, anytime, anywhere


About You and Your Parents

Are you genetically related to your family?

Yes
No
Don't know

What is your parents preferred choice of sexual partner?

Each other
None - they are celibate
Third parties, outside the family home
Third parties, inside the family home
Your friends
Your siblings
You

Where do your parents sleep?

Same bed
Different beds, same bedroom
Different bedrooms, same house
Different house, same city
Different city, same country
Different country

At meal times, you, your siblings and your parents eat

Together, all of the time
Mother and children eat together, daddy has his separately when he comes in from work
All eat separately
All eat separately, children prepare their own food

What happens at holiday times?

Holiday altogether
Holiday apart
Don't have holidays

How would you describe level of communication within your family?

Open with appropriate boundaries
Open, no boundaries (for example, your mother informs you of explicit sexual details of her affairs)
Secretive (secrets and lies)

Who makes the decisions in your family?

The parents and children
The parents
One parent
No decisions are ever made

You express anger about something.  The response from your family is:

Appropriate, then the incident is forgotten
Punitive silence
Shouting and screaming out of control
Physical violence


About You and Your Siblings

What is your relationship with your siblings?

Friendly
Hot and cold
Mildly estranged / take it or leave it
Haven't had any contact for years


This questionnaire compiled by sic@irational.org with the assistance of members of his familypowered by irational
Last updated 07 August 1999.

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