PART 4: Relationship Satisfaction Survey
If responding to survey via mobile phone from Instagram, please click on 3 dots as pictured above then choose, "Open in safari"/ "Google Chrome" to take survey.
Flip phone horizontally as pictured to see all survey questions and response options. Thank you!
Consent: Link to Consent Agreement
Yes | No | |
|---|---|---|
I have read the consent form and have been given the opportunity to ask questions. I give my consent to participate in this study. |
Were you directed to find out your love style before you took this survey?
Yes
No
Are you married?
Yes
No
Prefer not to say
What gender do you identify as?
Male
Female
Non-binary
Prefer not to answer
Other
Please Specify:
What is your age?
0-15 years old
15-30 years old
30-45 years old
45+
Prefer not to answer
What is your sexual orientation?
Heterosexual or straight
Bisexual
Gay
Lesbian
Other
Please specify your ethnicity...
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or More
Other/ Unknown
Prefer not to say
What is the highest degree or level of education you have completed?
Some High School
High School
Bachelor's Degree
Master's Degree
Ph.D. Or higher
Trade School
Prefer not to say
Most people have disagreements in their relationships. Please indicate below the approximate extent of agreement or disagreement between you and your partner for each item on the following list.
5 All the time | 4 Most of the time | 3 More often than not | 2 Occasionally | 1 Rarely | 0 Never | |
|---|---|---|---|---|---|---|
2. In general, how often do you think that things between you and your partner are going well? |
For each of the following items, select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
0 All of the time | 1 Most of the time | 2 More often than not | 3 Occasionally | 4 Rarely | 5 Never | |
|---|---|---|---|---|---|---|
3. Our relationship is strong | ||||||
4. My relationship with my partner makes me happy | ||||||
5. I have a warm and comfortable relationship with my partner | ||||||
6. I really feel like part of a team with my partner |
0 | 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|---|
7. How rewarding is your relationship with your partner? | ||||||
8. How well does your partner meet your needs? | ||||||
9. To what extent has your relationship met your original expectations? | ||||||
10. In general, how satisfied are you with your relationship? |
For each of the following items, select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
5 | 4 | 3 | 2 | 1 | 0 | |
|---|---|---|---|---|---|---|
11. How interesting do you feel your relationship is if 5 is the most INTERESTING and 0 is the most BORING? | ||||||
12. How bad do you feel in your relationship if 5 is very BAD and 0 is very GOOD? | ||||||
13. How fulfilling do you feel your relationship is if 5 is the most FULFILLING and 0 is the most EMPTY? | ||||||
14. How sturdy do you feel your relationship is if 5 is the most STURDY and 0 is the most FRAGILE? | ||||||
15. How discouraged do you feel about your relationship if 5 is the most DISCOURAGED and 0 is the most HOPEFUL? | ||||||
16. How enjoyable do you feel your relationship is if 5 is the most ENJOYABLE and 0 is the most MISERABLE? |
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