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Survey Templates Surveys Cohabiting Relationships Survey

Cohabiting Relationships Survey
 
1.Your gender:
2.Your age:
3.How long have you and your partner been together? (Please indicate years and months, if applicable)
4.How long have you and your partner been living together? (Please indicate years and months, if applicable)
6. Do you or your partner have children who live with you?
7. What is your race?
8. What is your highest level of education completed?
Couples live together for various reasons. We would like to know about your reasons for cohabiting with your current partner. Please indicate how much each statement is like YOU when considering your current purpose for cohabiting.
Very much like me
Somewhat like me
Neutral/mixed
Not much like me
Not at all like me
9. I am living with my partner because we are engaged or planning to get married.
10. Living together will help me get to know my partner better.
11. I want to test out living together before I make a further commitment to my partner.
12. Living together is a better choice for me than being married.
13. Living together made sense because of financial or economic reasons.
14. Living together is a trial run for marriage.
15. It is more convenient to live together than to live apart.
16. If we are successful at living together, I think we will be successful at marriage.
17. I want to live with my partner instead of getting married.
18. Living together shows my commitment to my partner.
19. If you would like to say more about the reasons you indicated above, or if there were other reasons you considered when cohabiting, please briefly describe them here.
20. Please list briefly (either from the list above or in your own words) what your MOST IMPORTANT reason was for cohabiting when considering your current relationship.
21. Please give a brief description of how you and your partner began living together.
22. How important is it to you to get married (even if not to your current partner)?
23. Do you think that you and your partner will eventually marry?
24. It is always difficult to predict what will happen in a relationship. Realistically, where do you see your relationship one year from now?
Many people have disagreements in their relationships. Please indicate approximately how much agreement or disagreement there is between you and your partner for each item on the list below.
Always Agree
Almost Always Agree
Occasionally Disagree
Frequently Disagree
Almost Always Disagree
Always Disagree
25. Handling finances
26. Matters of recreation
27. Religious matters
28. Demonstrations of affection
29. Friends
30. Sex relations
31. Conventionality (correct or proper behavior)
32. Philosophy of life
33. Ways of dealing with parents
34. Aims, goals, and things believed important
Always Agree
Almost Always Agree
Occasionally Disagree
Frequently Disagree
Almost Always Disagree
Always Disagree
35. Amount of time spent together
36. Making major decisions
37. Household tasks
38. Leisure time interests and activities
39. Career decisions
Please answer the following questions to the best of your ability.
All the time
Most of the time
More often than not
Occasionally
Rarely
Never
40. How often do you discuss or have you considered separation or terminating your relationship?
41. How often do you or your mate leave the house after a fight?
42. In general, how often do you think that things between you and your partner are going well?
43. Do you confide in your mate?
44. Do you ever regret that you lived together?
45. How often do you and your partner quarrel?
46. How often do you and your mate "get on each other's nerves"?

Every day
Almost every day
Occasionally
Rarely
Never
47. Do you kiss your mate?

All of them
Most of them
Some of them
Very few of them
None of them
48. Do you and your mate engage in outside interests together?
How often would you say the following events occur between you and your mate?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
49. Have a stimulating exchange of ideas
50. Laugh together
51. Calmly discuss something
52. Work together on a project
53. Being too tired for sex.
54. Not showing love.
 
 
The following statements concern how you feel in your current relationship. Please respond to each statement by indicating how much you agree or disagree with it.
Disagree Strongly
Neutral/Mixed
Agree Strongly
57. I prefer not to show my romantic partner how I feel deep down.
58. I worry about being abandoned.
59. I am very comfortable being close to my romantic partner.
60. I worry a lot about my relationship.
61. Just when my romantic partner starts to get close to me I find myself pulling away.
62. I worry that my romantic partner won’t care about me as much as I care about him/her.
63. I get uncomfortable when my romantic partner wants to be very close.
64. I worry a fair amount about losing my romantic partner.
65. I don’t feel comfortable opening up to my romantic partner.
66. I often wish that my romantic partner’s feelings for me were not as strong as my feelings for him/her.
Disagree Strongly
Neutral/Mixed
Agree Strongly
67. I want to get close to my romantic partner, but I keep pulling back.
68. I often want to merge completely with my romantic partner, and this sometimes scares him/her away.
69. I am nervous when my romantic partner gets too close to me.
70. I worry about being alone.
71. I feel comfortable sharing my private thoughts and feelings with my romantic partner.
72. My desire to be very close sometimes scares people away.
73. I try to avoid getting too close to my romantic partner.
74. I need a lot of reassurance that I am loved by my romantic partner.

Disagree Strongly
Neutral/Mixed
Agree Strongly
75. I find it relatively easy to get close to my romantic partner.
76. Sometimes I feel that I force my romantic partner to show more feeling, more commitment.
77. I find it difficult to allow myself to depend on my romantic partner.
78. I do not often worry about being abandoned.
79. I prefer not to be too close to my romantic partner.
80. If I can’t get my romantic partner to show interest in me, I get upset or angry.
81. I tell my romantic partner just about everything.
82. I find that my romantic partner doesn’t want to get as close as I would like.
83. I usually discuss my problems and concerns with my romantic partner.
84. When I’m not involved in a relationship, I feel somewhat anxious and insecure.
Disagree Strongly
Neutral/Mixed
Agree Strongly
85. I feel comfortable depending on my romantic partner.
86. I get frustrated when my romantic partner is not around as much as I would like.
87. I don’t mind asking my romantic partner for comfort, advice, or help.
88. I get frustrated if my romantic partner is not available when I need him/her.
89. It helps to turn to my romantic partner in times of need.
90. When my romantic partner disapproves of me, I feel really bad about myself.
91. I turn to my romantic partner for many things, including comfort and reassurance.
92. I resent it when my romantic partner spends time away from me.
93. Do you and your partner have a joint account?
94. How do you and your partner handle household bills and expenses?
95. What is your average annual income?
96. What is your partner's annual income?
How did you hear about this study? Please briefly describe below. If you were referred to this study by someone you know, please provide their e-mail address for the $50 drawing.
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