Mariage Relationship Inventory
By Earl S. Schaefer, Marianna Edgerton, and Charles K. Burnett

Before proceeding to the inventory, please help us understand you, your mate, and the nature of your relationship by providing some demographic data.


Your Age.

Your mates age.

Your sex.

Your current relationship status.

How long have you been married to your mate?

Please describe your education.

Please describe your mate's education.

Please describe your own personal income.

Please describe your mate's personal income.

Please provide the sex and age of your children.

Your Children Child 1 Child 2 Child 3 Child 4 Child 5 Child 6 Child 7
Child's Sex
Child's Age


How much happiness do you get out of your life in general?

How much happiness do you get out of your marital relationship?

How much happiness do you think your mate gets out of their life in general?

How much happiness do you think your mate gets out of this relationship?



Each of the following statements might describe your partner. Please check the one box that indicates how well each statement describes your partner's behavior with you. Rate each statement from 1 (not at all like him/her) to 3 (somewhat like her/him) to 5 (very much like him/her).


Talks over his/her problems with me.
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Thinks of romantic things to do together.
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Is always trying to change me.
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Respects my opinion.
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Enjoys watching me bathing or nude.
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Acts as though I am in the way.
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Won't take no for an answer when he/she wants something.
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Gives me as much freedom as I want.
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Often tells me he/she loves me.
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Will not talk to me if I displease him/her.
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Likes to make love with me.
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Knows when to back off and let me be.
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Tries to understand how I see things.
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Does things to please me when we are intimate.
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Expresses affection by touching or holding me.
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Is always thinking of things that would please me.
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Takes time to be romantic with me.
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Argues back no matter what I say.
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Encourages me to follow my own interests.
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Enjoys being nude with me and kissing my body.
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Makes fun of me.
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Wants to have the last word on how we spend our time.
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Lets me make up my own mind.
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Speaks to me in a loving voice.
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Is cold and distant when he/she disagrees with me.
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Makes love with me in different ways, times, or places.
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Respects my need to be alone at times.
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Makes me feel I can tell him/her anything.
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Is gentle and loving when we have sex.
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Cuddles with me to show affection.
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Has a good time with me.
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Does things to show he/she loves me.
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Wants to control everything I do.
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Is happy to go along with my decisions.
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Likes to touch, caress, and kiss my body.
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Says I'm a big problem.
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Expects me to do everything his/her way.
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Thinks it's okay if I disagree with him/her.
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Says he/she is happy that I married him/her.
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Acts as if he/she doesn't know me when he/she is angry.
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Sometimes suggests that we have sex.
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Gives me as much privacy as I want.
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Thinks I'm worth listening to.
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Tries to make sex enjoyable for me.
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Helps me to relax or sleep by stroking or massaging me.
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Asks me to share things he/she enjoys.
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Tells me I'm attractive and desirable.
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Finds fault with me.
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Considers my point of view.
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Wants to spend time in intimate play with me.
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Doesn't think about me very much.
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Tries to control how I spend money.
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Lets me do anything I want to do.
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Praises me and the things I do.
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Doesn't want to talk with me about our relationship.
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Is happy and playful when we have sex.
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Respects my need for time for myself.
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Makes it easy to tell him/her how I really feel.
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Tries to be a good lover for me.
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Hugs or kisses me lovingly.
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As a further contribution to understanding of marital partners as friends and lovers please answer the following questions.


How much satisfaction do you get out of your sexual relationship with your mate?

How much satisfaction do you think your mate gets from their sexual relationship with you?

When you have sex with your mate, how frequently do you have an orgasm or climax?

When you have sex with your mate, how frequently do you think your mate has an orgasm?

About how often did you have sex with your mate during the last twelve months?

Everything considered, how happy are you in this marital relationship? 1 being extremely unhappy, 4 being average, and 7 being extremely happy.
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Everything considered, how would you rate your mate's happiness in this marital relationship? 1 being extremely unhappy, 4 being average, and 7 being extremely happy.
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Everything considered, how would you rate your own mental health, 1 being very unhealthy, 4 being of average mental health, and 7 being extremely healthy?
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Please describe the frequency of your own emotional responses to your partner's presence or behavior.

Emotion

Frequency

Affection
Anxiety
Contentment
Irritation
Ecstasy
Fear
Pleasure
Anger
Joy
Indifference
Sexual Desire
Disappointment
Sexual Arousal
Impatience
Satisfaction
Hatred
Gratitude
Bitterness
Attraction
Discontent
Love
Aversion
Admiration
Boredom


Thank you very much for participating in our research. As stated earlier, your responses are completely confidential and your identity is not associated with your responses.