FIRO-B SCORING SHEET

Expressed Inclusion Wanted Inclusion Expressed Control Wanted Control Expressed Affection Wanted AffectionItem Key Item Key Item Key Item Key Item Key Item Key 1 1-2-3 28 1-2 30 1-2-3 2 1-2-3-4 4 1-2 29 1-2 3 1-2-3-4 31 1-2 33 1-2-3 6 1-2-3-4 8 1-2 32 1-2 5 1-2-3-4 34 1-2 36 1-2 10 1-2-3 12 1 35 5-6 7 1-2-3 37 1 41 1-2-3-4 14 1-2-3 17 1-2 38 1-2 9 1-2 39 1 44 1-2-3 18 1-2-3 19 4-5-6 40 5-611 1-2 42 1-2 47 1-2-3 20 1-2-3 21 1-2 43 113 1-2 45 1-2 50 1-2 22 1-2-3-4 23 1-2 46 5-615 1 48 1-2 53 1-2 24 1-2-3 25 4-5-6 49 1-216 1 51 1-2 54 1-2 26 1-2-3 27 1-2 52 5-6

Inclusion Control Affection

Expressed behavior

Toward others

Wanted behavior

From others