Childhood Attachment & Relational Trauma Scale (CARTS) Survey

1. Are you male or female?  Male  Female  Skip this question

1. What is your ethnic background? Please select a value for Question Skip this question Mixed Race Arctic (Siberian, Eskimo) Caucasian (European) Caucasian (Indian) Caucasian (Middle East) Caucasian (North African, Other) Indigenous Australian Native American North East Asian (Mongol, Tibetan, Korean Japanese, etc) Pacific (Polynesian, Micronesian, etc) South East Asian (Chinese, Thai, Malay, Filipino, etc) West African, Bushmen, Ethiopian Other Race

1. What is your marital status? Please select a value for Question Skip this question Single Married Common-law Separated Divorced Widowed Other

1. What is the highest level or grade in education that you have completed? Please select a value for Question Skip this question Did NOT Complete Highschool Completed Highschool Some College or University Courses College Diploma Undergraduate University Degree Graduate or Professional University Degree

1. Are you currently Working? Please select a value for Question Skip this question Yes, Employed Part-time or Full-time Yes, As a Student Yes, Self-employed No, I am currently unemployed No, I am currently not able to work Other

1. Do you CURRENTLY suffer from, or have you EVER suffered from a psychiatric condition that was diagnosed by a physician or psychologist? Please select a value for Question Skip this question No Yes, Currently Yes, in the past, but NOT currently

At what location was this survey completed?

1. Institution Name?