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What is your gender?
 
Male
 
Female
 
 
 
What is your current relationship status?
 
Single
 
Dating
 
Married
 
 
 
Which category bellow includes your age?
 
17 or younger
 
18-20
 
21-29
 
30-39
 
40-49
 
50-59
 
60 or older
 
 
 
I find it easy to be affectionate with ______ .
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true
 
 
 
I feel that _____ understands me.
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true
 
 
 
If _____ were feeling badly, my first duty would be to cheer him/her up.
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true
 
 
 
I feel that I can confide in _____ about virtually everything.
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true
 
 
 
I find it easy to ignore _____ 's faults.
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true
 
 
 
I like spending my free time with _____ .
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true
 
 
 
I am physically attracted to _____ .
 
Not at all true
 
Not true
 
Neither true nor untrue
 
True
 
Definitely true