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Survey Templates Surveys Relationship Satisfaction

Relationship Satisfaction

Relationship Satisfaction


You are invited to participate in a research study assessing relationship satisfaction. You were selected as a possible participant based on your current relationship status (dating or married). I ask that you read this form prior to participating in the study. You must be 18 years of age or older in order to participate.

This study is being conducted by Hilda Lai (Senior Psychology Major) and Dr. Kerrie Baker (Associate Professor of Psychology), of Cedar Crest College.

Background Information
The purpose of this study is to assess relationship satisfaction based on participants’ personality and how participants view their relationship with their partners. The results collected will be used to determine whether these variables affect one another.

Procedures
If you agree to be in this study, we would ask you to follow the instructions given in each of the four sections of the questionnaire. For each section, answer the questions based on your first instinct. The answers should be based on your own personal experiences and there are no right or wrong answers. The entire study should take no more than 15 minutes to complete.


Risks and Benefits
There are no perceived risks in participating in this study.
Cedar Crest College students may receive extra credit points from approved classes.

Confidentiality
Responses to all questionnaire items are anonymous, and all records of this study will be kept confidential and private. In any sort of report that might be published, no information will be included that would make it possible to identify a subject. Research records will be kept in the Psychology Department of Cedar Crest College for three year, where only the researchers will have access to the records. Records will be destroyed after May, 2011.


Right to Withdraw
If you decide to participate, you are free to withdraw at any time. Your decision of whether or not to participate will not affect your current or future relations with Cedar Crest College or questionpro.com.

Statement of Approval
This research was approved by Cedar Crest College’s Institutional Review Board.

Proposal # ( 1017-07 ) Date: 11/20/07

Contacts and Questions
The supervising researcher conducting this study is Dr. Kerrie Baker (610) 606-4666 Ext. 3426; if you have questions you may contact the researchers. Any questions you may have regarding the use of human subjects may be directed to the Institutional Review Board Chairperson, Dr. Allen Richardson (610) 606-4666 Ext. 3320.

Your age (Years)
Your partner's age (Years)
Sex
Ethnic Background
Education Level
Have you ever been in another romantic relationship prior to your current relationship?
How long have you been in your current relationship? (Months/Years)
What is your sexual orientation?
What is the current status of your relationship?
Do you and your partner live together?
Do you (and/or your partner) have children? (check all that apply)
Do you live in the United States?
Email Address (Optional)
Instruction: On the following page, there are questions describing your perception of your current relationship. Please use the rating scale below to describe how you feel about each statement. Describe yourself (and your partner) as you generally are now, not as you wish to be in the future. Describe as honestly as you can. There are no right or wrong answers, and your repsonses will be kept in absolute confidence. Please read each statement carefully, and then click on the answer that corresponds to the scale.

None of the time
Very rarely
A little of the time
Some of the time
A good part of the time
Most of the time
All of the time
My partner is affectionate enough.
My partner treats me badly.
My partner really cares for me.
I feel that I would not choose the same partner if I had to do it over again.
I feel that I can trust my partner.
I feel that our relationship is breaking up.
My partner really doesn't understand me.
I feel that our relationship is a good one.
Ours is a very happy relationship
Our life together is dull
None of the time
Very rarely
A little of the time
Some of the time
A good part of the time
Most of the time
All of the time
We have a lot of fun together.
My partner does not confide in me.
Ours is a very close relationship.
I feel that I cannot rely on my partner.
I feel that we do not have enough interests in common.
We manage arguments and disagreements very well.
We do a good job of managing our finances.
I feel that I should never have dated/married my partner.
My partner and I get along very well together.
Our relationship is very stable.
None of the time
Very rarely
A little of the time
Some of the time
A good part of the time
Most of the time
All of the time
My partner is a real comfort to me.
I feel that I no longer care for my partner.
I feel that the future looks bright for our relationship.
I feel that our relationship is empty.
I feel there is no excitement in our relationship.
Instruction: On the page below, there are quetsions describing your perception of your current relatinoship. Please use the rating scale below to describe how you feel about each statement. Describe yourself (and your partner) as you genearlly are now, not as you wish to be in the future. Describe as you honestly see yourself (and your partner). There are no right or wrong answers, and your responses will be kept in absolute confidence. Please read each statement carefully, and then click on the answer that best describes your romantic relationship.
Extremely Positive
Very Positive
Moderately Positive
Slightly Positive
Slightly Negative
Moderately Negative
Very Negative
Extremely Negative
All things considered, how would you describe your contribution to your relationship?
All things considered, how would you describe your partner's contribution to your relationship?
All things considered, how would you describe your outcomes from your relationship?
All things considered, how would you describe your partner's outcomes from your relationship?
Instruction: On the following page(s), there are phrases describing behaviors. Please use the rating scale below to describe how accurately each statement describes you. Describe yourself as you generally are now, not as you wish to be in the future. Describe yourself as you honestly see yourself, in relation to other people you know of the same sex as you are, and roughly your same age. There are no right or wrong answers, and your responses will be kept in absolute confidence. Please read each statement carefully, and click on the response that best represent you.

Very Inaccurate
Moderately Inaccurate
Neither Inaccurate nor Accurate
Moderately Accurate
Very Accurate
Don't like to draw attention to myself.
Sympathize with others' feelings.
Am interested in people.
Am less capable than most people.
Feel desperate.
Feel others' emotions.
Seldom feel blue.
Have a soft heart.
Am easily disturbed.
Keep in the background.
Very Inaccurate
Moderately Inaccurate
Neither Inaccurate nor Accurate
Moderately Accurate
Very Accurate
Like to take responsibility for making decisions.
Dislike myself.
Change my mood a lot.
Get caught up in my own problems.
Know my strengths .
Hold a grudge.
Get back at people who insult me.
Keep my cool.
Feel short-changed in life.
Take offense easily.
Very Inaccurate
Moderately Inaccurate
Neither Inaccurate nor Accurate
Moderately Accurate
Very Accurate
Am quiet around strangers.
Am not really interested in others.
Feel comfortable with myself.
Make people feel at ease.
Don't talk a lot.
Just know that I will be a success.
Am inclined to forgive others.
Question my ability to do my work properly.
Insult people.
Am not easily bothered by things.
Very Inaccurate
Moderately Inaccurate
Neither Inaccurate nor Accurate
Moderately Accurate
Very Accurate
Get stressed out easily.
Try to forgive and forget.
Worry about things.
Feel that most people can't be trusted.
Am relaxed most of the time.
Feel little concern for others.
Talk to a lot of different people at parties.
Have frequent mood swings.
Distrust people.
Feel that my life lacks direction.
Very Inaccurate
Moderately Inaccurate
Neither Inaccurate nor Accurate
Moderately Accurate
Very Accurate
Am the life of the party.
Get upset easily.
Enjoy my work.
Get irritated easily.
Am not interested in other people's problems.
Am nice to people I should be angry at.
Love my enemies.
Start conversations.
Habitually blow my chances.
Fear for the worst.
Very Inaccurate
Moderately Inaccurate
Neither Inaccurate nor Accurate
Moderately Accurate
Very Accurate
Feel that I'm unable to deal with things.
Take time out for others.
Often feel blue.
Don't mind being the center of attention.
Get even with others.
Find it hard to forgive others.
Have little to say.
Feel comfortable around people.
See difficulties everywhere.

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