Relationship Satisfaction

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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.

I agree to participant in this study.

Your age (Years)

Your partner's age (Years)

Sex

Male

Female

Ethnic Background

Caucasian

African American

Hispanic

Asian

Others

Education Level

Some Highschool

High School Graduate

Some College

Completed College (Undergraduate Program)

Some Graduate Program

Graduated from Graduate Program(s)

Have you ever been in another romantic relationship prior to your current relationship?

Yes

How long have you been in your current relationship? (Months/Years)

What is your sexual orientation?

Heterosexual

Homosexual

Bisexual

What is the current status of your relationship?

Married

Engaged

Dating

Do you and your partner live together?

Yes

Do you (and/or your partner) have children? (check all that apply)

I have a child/children from previous relationship(s).

My partner has a child/children from previous relationship(s).

My partner and I have a child/children together.

We do not have a child/children.

Do you live in the United States?

Yes

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.	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 treats me badly.	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 really cares for me.	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

I feel that I would not choose the same partner if I had to do it over again.	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

I feel that I can trust my partner.	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

I feel that our relationship is breaking up.	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 really doesn't understand me.	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

I feel that our relationship is a good one.	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

Ours is a very happy relationship	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

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

	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.	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 does not confide in me.	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

Ours is a very close relationship.	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

I feel that I cannot rely on my partner.	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

I feel that we do not have enough interests in common.	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 manage arguments and disagreements very well.	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 do a good job of managing our finances.	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

I feel that I should never have dated/married my partner.	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 and I get along very well together.	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

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

	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.	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

I feel that I no longer care for my partner.	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

I feel that the future looks bright for our relationship.	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

I feel that our relationship is empty.	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

I feel there is no excitement in our relationship.	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

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?	Extremely Positive	Very Positive	Moderately Positive	Slightly Positive	Slightly Negative	Moderately Negative	Very Negative	Extremely Negative

All things considered, how would you describe your partner's contribution to your 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 outcomes from your 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 partner's outcomes from your relationship?	Extremely Positive	Very Positive	Moderately Positive	Slightly Positive	Slightly Negative	Moderately Negative	Very Negative	Extremely Negative

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
Take time out for others.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Don't like to draw attention to myself.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel that my life lacks direction.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am relaxed most of the time.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Like to take responsibility for making decisions.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Get even with others.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Don't talk a lot.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Talk to a lot of different people at parties.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am not really interested in others.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Take offense easily.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate
Feel comfortable around people.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Keep my cool.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Sympathize with others' feelings.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Worry about things.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel that most people can't be trusted.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Dislike myself.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Fear for the worst.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Question my ability to do my work properly.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Try to forgive and forget.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Get back at people who insult me.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate
Often feel blue.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am quiet around strangers.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am the life of the party.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Distrust people.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Have little to say.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Have frequent mood swings.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Have a soft heart.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Get caught up in my own problems.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Don't mind being the center of attention.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Change my mood a lot.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate
Am easily disturbed.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Get irritated easily.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Seldom feel blue.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

See difficulties everywhere.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel that I'm unable to deal with things.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am inclined to forgive others.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Get stressed out easily.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am not easily bothered by things.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Insult people.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel others' emotions.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate
Am interested in people.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel little concern for others.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am less capable than most people.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Know my strengths .	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Make people feel at ease.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Start conversations.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am nice to people I should be angry at.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Am not interested in other people's problems.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel comfortable with myself.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Just know that I will be a success.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate
Habitually blow my chances.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Enjoy my work.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Hold a grudge.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Find it hard to forgive others.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Get upset easily.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Keep in the background.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel short-changed in life.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Love my enemies.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

Feel desperate.	Very Inaccurate	Moderately Inaccurate	Neither Inaccurate nor Accurate	Moderately Accurate	Very Accurate

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Relationship Satisfaction

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