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1. What is your age? 
 
18 to 24
 
25 to 34
 
35 to 44
 
45 to 54
 
55 to 64
 
64 and up
 
 
 
2. What is your gender?
 
Female
 
Male
 
 
 
3. Which of the following best describes your current relationship status? 
 
Married
 
Widowed
 
Divorced
 
Separated
 
Boyfriend/Girlfriend
 
Single
 
 
 
4. Should the male ask for the first date? 
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
5. Who is responsible for initiating contact after the first date? 
 
Female
 
Male
 
Neutral
 
 
 
6. It is acceptable for your date to order for you at a restaurant. 
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
7. How likely are you to consider couple's counseling? 
 
Very Likely
 
Likely
 
Neutral
 
Unlikely
 
Very Unlikely
 
 
 
8. How important is it for you to win an argument with your partner? 
 
Very Important
 
Important
 
Neutral
 
Unimportant
 
Very Unimportant
 
 
 
9. Who do you feel should apologize first after an argument?
 
Female
 
Male
 
Person at fault
 
 
 
10. It is okay to lie to spare your partner's feelings. 
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
11. When apart, how often do you think you should communicate with your partner? 
 
1-2 times a day
 
3-4 times a day
 
5-6 times a day
 
7-8 times a day
 
Consistently throughout the day
 
 
 
12. How important is it to respond to a compliment with another compliment? 
 
Very Important
 
Important
 
Neutral
 
Unimportant
 
Very Unimportant
 
 
 
13. How likely are you to voice your complaints to your partner? 
 
Very Likely
 
Likely
 
Neutral
 
Unlikely
 
Very Unlikely
 
 
 
14. Whose responsibility is it to set physical(sexual) boundaries ? 
 
Female
 
Male
 
Neutral
 
 
 
15. How opposed are you to your partner cursing? 
 
Strongly Opposed
 
Opposed
 
Neutral
 
Unopposed
 
Strongly Unopposed
 
 
 
16. How quickly should you solve a conflict with your partner? 
 
Right Away
 
Within 24 Hours
 
A Couple Days
 
A Week or More
 
 
 
17. It is important to have equal authority in your relationship.
 
Very Important
 
Important
 
Neutral
 
Unimportant
 
Very Unimportant
 
 
 
18. It is better to communicate your relationship problems with your friends than with your partner. 
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
19. It is important to communicate cultural/religious differences with your partner.
 
Very Important
 
Important
 
Neutral
 
Unimportant
 
Very Unimportant
 
 
 
20. It is okay okay for the male to show emotion in the relationship. 
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
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