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Exit Survey
 
 
Please take this survey.  
 
 
 
 
The items on the form concern the kind of friend your friend is to you. Imagine that the blank space in each item contains your friend's name. With him or her in mind, decide how often the item applies. Select how often your friend is or does what the item says. There are no right or wong answers because adult friendships are very different from one another. Just describe your friend as he or she really is to you. 
The scale is rated as shown below;
  Never            Rarely          Once in a While         Fairly Often       Always
   0    1              2   3                   4   5                          6    7                8      
 
 
_______ helps me when I need it. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
_____ would make me feel comfortable in a new situation. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
____ is someone I can tell private things to. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
______ has good ideas about entertaining things to do. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
______ would want to stay my friend if we didn't see each other for a few months. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always