Instructions: Thank you for your time today. This survey is about romantic love and breakups. There are no right or wrong answers. The survey just wants to know what different teens are experiencing today and will take a few minutes to complete. Your anonymous responses will be combined with the responses of 20 other teens at our school and will be used in my Teen Advisory Board project. If you need clarification on any question, please ask. If you don’t feel comfortable answering a question, you can skip it.