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2011
September
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This survey is aimed at discovering the link between marital conflict and sibling relationships. The survey should take between 10-15 minutes to complete and the results will remain completely confidential. This survey is not approved by the Institutional Review Board. When taking this survey, think about what your household was like while you were growing up, as well as what your relationship with your sibling/s and parents were like.
Select the gender that best fits you
Male
Female
Other
Enter your age
Enter the number of full siblings you have
Enter the number of half-siblings you have
Enter the number of step-siblings you have
What is the status of your parents relationship? Choose the one that best fits your situation
Married
Divorced
Live together but never married
Raised by single parent
Other
How often would you say the following events occur/occurred between your parents?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
N/A
Verbally argue
Physically argue
Calmly discuss something
Laugh together
How well do you think your parents get along...
Very Well
Well
Fair
Poor
Very badly
N/A
Physically
Emotionally
On a daily basis
In public
In private
Is your mother interested in...
Never interested
Rarely interested
Sometimes interested
Often interested
Always interested
N/A
Your education
Your health
Your social life
Your personal life
Is your father interested in...
Never interested
Rarely interested
Sometimes interested
Often interested
Always interested
N/A
Your education
Your health
Your social life
Your personal life
Is your mother able to help you with...
Never
Rarely
Sometimes
Often
Always
N/A
Emotional problems
Relationship problems
Academic problems
Is your father able to help you with...
Never
Rarely
Sometimes
Often
Always
N/A
Emotional problems
Relationship problems
Academic problems
Is your relationship with your mother...
Not close at all
Rarely close
Close
Pretty close
Very close
N/A
Is your relationship with your father...
Not close at all
Rarely close
Close
Pretty close
Very close
N/A
When answering the next set of questions, think about the sibling you are closest to...
Is your relationship with your sibling...
Not close at all
Rarely close
Close
Pretty close
Very close
N/A
When answering the next set of questions, think about the sibling you are closest to...
Disagree strongly
Disagree somewhat
Disagree a little
Agree a little
Agree somewhat
Agree strongly
N/A
My sibling knows and understands the real me.
My sibling accepts me and values me for who I am.
I believe that my sibling is trustworthy.
I feel that I can trust my sibling completely.
I can count on my sibling to be honest with me.
I lack power and control in my relationship with my sibling.
I lack influence in our relationship.
I feel that my sibling controls our relationship too much.
When answering the next set of questions, think about what was going on in your household while you were growing up...
Disagree strongly
Disagree somewhat
Disagree a little
Agree a little
Agree somewhat
Agree strongly
N/A
My parents often disagreed with each other
My parents fought in front of me
I moved around a lot growing up
Money was always tight in my household
Sometimes a parent would get physically rough when I was growing up
My parents never seem to worry about very much
My house was a very happy place to grow up
My parents were very nurturing
My growing-up neighborhood was secure and close
My growing-up was typical middle class
How often does your mother...
Never
Rarely
Sometimes
Often
Always
N/A
Help you with emotional problems
Help you with relationship problems
Support your academic problems
Rely on you to help her out at home
Confide her problems or concerns to you
Share her feelings with you
Expect you to agree with her opinions
Expect you to take her side when she disagrees with others
How often does your father...
Never
Rarely
Sometimes
Often
Always
N/A
Help you with emotional problems
Help you with relationship problems
Support your academic problems
Rely on you to help him out at home
Confide his problems or concerns to you
Share his feelings with you
Expect you to agree with his opinions
Expect you to take his side when he disagrees with others
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