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Gender:
 
Male
 
Female
 
 
 
Age:
   
 
 
 
Parents marriage status:
 
Married (both parents currently together)
 
Divorced
 
Remarried
 
 
 
Approximate age when parents were divorced:
   
 
 
 
Please answer the following questions to the best of your knowledge:
 
 
 
It is easy for me to make friends.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
I have a habit of keeping others at a distance.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
I feel cheated in life.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
I am not easily troubled by things.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
I like taking responsibility when making decisions.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree