Yes, he's asked for the list. And thankfully, you have time to think about what you might put in the list.
Perhaps... consider making the list more from an I and situational perspective. That way, he won't see it as blaming... and might be more empathetic...
IOW:
+ When we are together, I feel disconnected + When you are drinking, I feel unloved + When you go to sleep early, I feel abandoned + When you are raging, I feel scared + When you say we are incompatible, I feel confused