This free survey is powered by
Create a Survey
Surveys
2013
April
S
Stats
Stats
0%
Exit Survey
Hey everyone!
I really need this survey for my Stats class, I'd really appreciate just 5 minutes of your time!
How would you describe your primary relationship?
Female - Female
Male - Female
Male - Male
How long have you been in this relationship?
1-6 months
6-12 months
>1 year
>3 years
Other
Ethnicity
African American
Asian American
Caucasian
Native American
Other
You
Your significant other
Religion/Faith
Christian
Hindu
Islamic
Buddhist/Jain
Other
You
Your significant other
How would you rate your level of satisfaction in your current relationship with respect to the following areas?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Overall quality of your relationship
Sex/Physical Intimacy
Communication
Openness
Compassion
Understanding
Emotional Support
Strength of your relationship
Love/Affection Received
Love/Affection Given
Any public display of affection
Independence
Interdependence
Mutual interests
For each of the following statements, use the criteria listed that best describes your current primary relationship.
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
I love my significant other
I am in love with my significant other and often fantasize raising a family with him/her
Physical attraction is important for me
I want to stay in a relationship with my current partner
I have adequate opportunity to personally grow and develop in my relationship
I am dependant upon my significant other for my happiness
I am afraid to be on my own without my significant other
We have good times together often
We make a good couple
I believe my significant other is the one for me
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
Our communication is effective
I would consider a long-term relationship with my significant other
I would consider long-distance with my significant other
I am happy with the level of intimacy in my relationship
I am interested in having an affair outside of my relationship
I am thinking about leaving the relationship
How often do you and your partner go on dates?
Few times a week
Once a week
Once a month
Once every few months
Never
How often do you and your partner argue on average?
Few times a week
Once a week
Once a month
Once every few months
What (if any) regrets do you have about your relationship?
What do you think you and/or your significant other can improve on in your relationship?
Loading...
close
Loading...
Close
qprun1.questionpro.net