In the past he has:
Been jailed for a felony * 1 point
Charged with drunk driving * 2 points
Charged with assault * 3 points
Been a member of a cult * 4 points
Been jailed for a misdemeanor * 5 points
A member of AA or (blank) Anon * 6 points
Declared Bankruptcy * 7 points
Attended church once a week * 8 points
Participated actively in a charity * 9 points
Donated more than $5000 to charity * 10 points
Which of the following terms or phrases is he most likely to use to
describe his ex?
Slut * 1 point
Bitch * 2 points
Pathetic * 3 points
Selfish * 4 points
Too Needy or Smothering * 5 points
Codependent * 6 points
Troubled * 7 points
Sad * 8 points
A tragedy * 9 points
A great person "but it didn't work out" * 10 points
Which of the following statements describes best how he spends the
majority of his free time:
Spending time with his wife or ex * 1 point
Drinking with his buddies at the bar * 2 points
Sleeping * 3 points
Watching sports * 4 points
He spends his free time at work * 5 points
Spending time with his mother * 6 points
Reading * 7 points
Participating in sports * 8 points
Working on a favorite hobby * 9 points
Participating in community events * 10 points
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