Form: Attachment Insecurity Screening Inventory, AISI

male form | female form
1 – Never
2 – Sometimes
3 – Regularly
4 – Often
5 – Very often
6 – Always
¹
1
2
3
4
5
6
1
Does your child try to force you to do what she wants?
2
Is your child excessively docile and obedient?
3
Does your child respond well and remain relaxed when you touch her?
4
Does your child stay in control when playing with you?
5
Does your child enjoy being cuddled by you?
6
Does your child cling to you?
7
Does your child argue with you if things do not turn out the way she expects?
8
Does your child let you comfort her if she is in pain, frightened or upset?
9
Does your child ask for help with problems?
10
Is your child over-concerned when you are upset or unwell?
11
Is it easy for your child to resume contact with you after you have been separated?
12
Is your child excessively determined to decide everything for herself?
13
Is your child excessively emotional when you leave her for a short period of time?
14
Is your child able to enjoy contact with you?
15
Does your child want to be put down and then immediately picked up again?
16
Does your child keep a close eye on you while you do things in and around the house?
17
Does your child hug or cuddle you spontaneously?
18
Does your child become angry with you quickly?
19
Is your child happy and playful in your presence?
20
Does your child need you to reassure her that she is doing something right?

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.