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Hello:
You are invited to participate in a survey of relationship factors which will help to enlighten areas of growth. In this survey, you will be asked to think about how you typically act toward others, and yourself, in difficult times. It may take approximately 10 minutes to complete the questionnaire. Although some people like to take time with surveys, we find the best answers are most often the first ones that come quickly to mind.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this survey. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact David Langford at (608) 729-8611 or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
How I Typically Act Towards Others
Please read each statement carefully before answering.

When people cry in front of me, I often don’t feel anything at all.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
Sometimes when people talk about their problems, I feel like I don’t care.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
I don’t feel emotionally connected to people in pain.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
I pay careful attention when other people talk to me.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
I feel detached from others when they tell me their tales of woe.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
If I see someone going through a difficult time, I try to be caring toward that person.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
I often tune out when people tell me about their troubles.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
I like to be there for others in times of difficulty.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always
 
 
 
I notice when people are upset, even if they don’t say anything.
 
1 Almost never
 
2 Not very often
 
3 Sometimes
 
4 Often
 
5 Almost always