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Exit Survey
 
 
Hello!
 
 
 
 
The items on this form concern the kind of friend your friend is to you. Imagine that the blank space in each items contains your friend's name. with him or her in mind, describe how often the item applies. Select how often your friend is or does what the item says. There are no right or wrong answers because adult friendships are very different from one another. Just describe your friend as he or she really is to you. 
 
 
 
____ helps me when I need it. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
_____ would make me feel comfortable in a new situation
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
____ is someone I can tell private things to.
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
___ has good ideas about entertaining things to do. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
____would want to stay my friend if we didnt see each other for a few months. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
please provide the following information
 
 
 
please indicate your gender 
 
 
 
please indicate your age in years