Symptoms

Yes/No

1

I feel I am impulsive and do things without planning and thinking about their consequences.

2

I frequently experience quick shifts in my mood.

3

I feel I have an unstable sense of self and identity, and often feel disassociated from myself.

4

I feel my self-esteem is low.

5

My relationships are unstable because of mistrust and sudden shifts of opinion and feelings about people.

6

I am involved in risky, dangerous, and self-harming behaviors.

7

I have a fear that people will leave me.

8

I involve in things and behaviors to avoid abandonment.

9

Often feels empty or depressed.

10

I have attempted suicide.

11

Suddenly start losing trust in people.

12

Being suspicious.