Appendix D: Questions
Appendix D: Questions
Appendix D: Questions
Persons have disagreements in their relationships. Please indicate below the approximate extent of
agreement or disagreement between you & your partner for each item on the following list. Tick
one answer for each item.
Almost Almost
Questions Always always Occasionally Frequently Alway
Agree Disagree Disagree always Disagi
agree disagree
3. Religious matters
4. Demonstrations of affections
5. Friends
6. Sex relations
7. Conventionality (correct or proper
behaviour)
8. Philosophy of life
9. Ways of dealing with parents or in
laws
10. Aims, goals, & things believed
important
11. Amount of spent together
Vll
19. Do you confide in your mate?
These are something about which couples sometimes agree or disagree. Indicate if either item caused
differences of opinions or were problems in the past few weeks.
Questions Yes No
29. Being too tired for sex
31; Th" StarS °" the following rePresent different degrees of happiness in your relationship. The middle
point, “HAPPY” represents the degree of happiness of most relationships. Tick the box in the phrase
which best describe the degree of happiness & all things considered of your relationship.
vm
32. Which of the following statements best describes how you feel about the future of your relationship?
Circle die letter for one statement
A I want desperately for my relationship to succeed, & would go to almost any.length to see that it
does.
B 1 want veiy much for my relationship to succeed, & will do all I can to see that it does.
C I want very much for my relationship to succeed, & will do my fair share to see that it does.
D it would be nice if my relationship succeeded, but I can't do much more than I am doing now to
keep the relationship going.
E It would be nice if it succeeded, but I refuse to do any more than I am doing now to keep the
relationship going.
F My relationship can never succeed, & there is no more that I can do to keep the relationship
..ffijgS:_______________________________________________________________________
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