Before proceeding to the inventory, please help us understand you, your
mate, and the nature of your relationship by providing some demographic
data.
Please provide the sex and age of your children.
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).
As a further contribution to understanding of marital partners as
friends and lovers please answer the following questions.
Please describe the frequency of your own emotional responses to your
partner's presence or behavior.
Emotion |
Frequency |
|
Affection
|
|
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Anxiety
|
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Contentment
|
|
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Irritation
|
|
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Ecstasy
|
|
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Fear
|
|
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Pleasure
|
|
|
Anger
|
|
|
Joy
|
|
|
Indifference
|
|
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Sexual Desire
|
|
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Disappointment
|
|
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Sexual Arousal
|
|
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Impatience
|
|
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Satisfaction
|
|
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Hatred
|
|
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Gratitude
|
|
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Bitterness
|
|
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Attraction
|
|
|
Discontent
|
|
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Love
|
|
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Aversion
|
|
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Admiration
|
|
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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.