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Part 1
Your Profile

3. Your biological sex
6. Is this your first marriage
7. Do you have any children under 18 years old from this marriage?
8. Are you providing long term care for any member of your household (parents, spouse, children)?
9. Your current employment status
10. Combined annual household income of both spouses
11. Your educational level
12. Are you and your spouse of the same race?
13. What is your religion?
14. How religious are you?
15. Which statement below best represents your view of marriage?

Part 2
Personality Assessment
(Self-report)

1. Worry about things
2. Make friends easily
3. Have a vivid imagination
4. Trust others
5. Complete tasks successfully
6. Get angry easily
7. Love large parties
8. Believe in the importance of art
9. Use others for my own ends
10. Like to tidy up
11. Often feel blue
12. Take charge
13. Experience my emotions intensely
14. Love to help others
15. Keep my promises
16. Find it difficult to approach others
17. Am always busy
18. Prefer variety to routine
19. Love a good fight
20. Work hard
21. Go on binges
22. Love excitement
23. Love to read challenging material
24. Believe that I am better than others
25. Am always prepared
26. Panic easily
27. Radiate joy
28. Tend to vote for liberal political candidates
29. Sympathize with the homeless
30. Jump into things without thinking
31. Fear for the worst
32. Feel comfortable around other people
33. Enjoy wild flights of fancy
34. Believe that others have good intentions
35. Excel in what I do
36. Get irritated easily
37. Talk to a lot of different people at parties
38. See beauty in things that others might not notice
39. Cheat to get ahead
40. Often forget to put things back in their proper place
41. Dislike myself
42. Try to lead others
43. Feel others' emotions
44. Am concerned about others
45. Tell the truth
46. Am afraid to draw attention to myself
47. Am always on the go
48. Prefer to stick with things that I know
49. Yell at people
50. Do more than what's expected of me
51. Rarely overindulge
52. Seek adventure
53. Avoid philosophical discussions
54. Think highly of myself
55. Carry out my plans
56. Become overwhelmed by events
57. Have a lot of fun
58. Believe that there is no absolute right or wrong
59. Feel sympathy for those who are worse off than myself
60. Make rash decisions
61. Am afraid of many things
62. Avoid contacts with others
63. Love to daydream
64. Trust what people say
65. Handle tasks smoothly
66. Lose my temper
67. Prefer to be alone
68. Do not like poetry
69. Take advantage of others
70. Leave a mess in my room
71. Am often down in the dumps
72. Take control of things
73. Rarely notice my emotional reactions
74. Am indifferent to the feelings of others
75. Break rules
76. Only feel comfortable with friends
77. Do a lot in my spare time
78. Dislike changes
79. Insult people
80. Do just enough work to get by
81. Easily resist temptations
82. Enjoy being reckless
83. Have difficulty understanding abstract ideas
84. Have a high opinion of myself
85. Waste my time
86. Feel that I'm unable to deal with things
87. Love life
88. Tend to vote for conservative political candidates
89. Am not interested in other people's problems
90. Rush into things
91. Get stressed out easily
92. Keep others at a distance
93. Like to get lost in thought
94. Distrust people
95. Know how to get things done
96. Am not easily annoyed
97. Avoid crowds
98. Do not enjoy going to art museums
99. Obstruct others' plans
100. Leave my belongings around
101. Feel comfortable with myself
102. Wait for others to lead the way
103. Don't understand people who get emotional
104. Take no time for others
105. Break my promises
106. Am not bothered by difficult social situations
107. Like to take it easy
108. Am attached to conventional ways
109. Get back at others
110. Put little time and effort into my work
111. Am able to control my cravings
112. Act wild and crazy
113. Am not interested in theoretical discussions
114. Boast about my virtues
115. Have difficulty starting tasks
116. Remain calm under pressure
117. Look at the bright side of life
118. Believe that we should be tough on crime
119. Try not to think about the needy
120. Act without thinking

Part 3
Marital Assessment
(Self-report)

Most persons have disagreements in their relationships. Please indicate below the approximate extent of agreement or disagreement between you and your partner for each item in the following list.

1. Handling family finances
2. Matters of recreation
3. Religious matters
4. Demonstrations of affection
5. Friends
6. Sex relations
7. Conventionality (correct or proper behavior)
8. Philosophy of life
9. Ways of dealing with parents or in-laws
10. Aims, goals, & things believed important
11. Amount of time spent together
12. Making major decisions
13. Household tasks
14. Leisure time interests and activities
15. Career decisions
16. How often do you discuss or have you considered divorce, separation, or terminating your relationship?
17. How often do you or your mate leave the house after a fight?
18. In general, how often do you think that things between you and your partner are going well?
19. Do you confide in your mate?
20. Do you ever regret that you were married? (or lived together)
21. How often do you and your partner quarrel?
22. How often do you and your mate "get on each other's nerves?"
23. Do you kiss your mate?
24. Do you and your mate engage in outside interests together?

How often would you say the following events occur between you and your mate?

25. Have a stimulating exchange of ideas
26. Laugh together
27. Calmly discuss something
28. Work together on a project
29. Being too tired for sex
30. Not showing love
31. Describe the degree of happiness, all things considered, of your relationship
32. Which of the following statements best describes how you feel about the future of your relationship?

Part 4
Personality of your spouse 
(from your point of view)

1. Worry about things
2. Make friends easily
3. Have a vivid imagination
4. Trust others
5. Complete tasks successfully
6. Get angry easily
7. Love large parties
8. Believe in the importance of art
9. Use others for my own ends
10. Like to tidy up
11. Often feel blue
12. Take charge
13. Experience my emotions intensely
14. Love to help others
15. Keep my promises
16. Find it difficult to approach others
17. Am always busy
18. Prefer variety to routine
19. Love a good fight
20. Work hard
21. Go on binges
22. Love excitement
23. Love to read challenging material
24. Believe that I am better than others
25. Am always prepared
26. Panic easily
27. Radiate joy
28. Tend to vote for liberal political candidates
29. Sympathize with the homeless
30. Jump into things without thinking
31. Fear for the worst
32. Feel comfortable around other people
33. Enjoy wild flights of fancy
34. Believe that others have good intentions
35. Excel in what I do
36. Get irritated easily
37. Talk to a lot of different people at parties
38. See beauty in things that others might not notice
39. Cheat to get ahead
40. Often forget to put things back in their proper place
41. Dislike myself
42. Try to lead others
43. Feel others' emotions
44. Am concerned about others
45. Tell the truth
46. Am afraid to draw attention to myself
47. Am always on the go
48. Prefer to stick with things that I know
49. Yell at people
50. Do more than what's expected of me
51. Rarely overindulge
52. Seek adventure
53. Avoid philosophical discussions
54. Think highly of myself
55. Carry out my plans
56. Become overwhelmed by events
57. Have a lot of fun
58.Believe that there is no absolute right or wrong
59.Feel sympathy for those who are worse off than myself
60. Make rash decisions
61. Am afraid of many things
62. Avoid contacts with others
63. Love to daydream
64. Trust what people say
65. Handle tasks smoothly
66. Lose my temper
67. Prefer to be alone
68. Do not like poetry
69. Take advantage of others
70. Leave a mess in my room
71. Am often down in the dumps
72. Take control of things
73. Rarely notice my emotional reactions
74. Am indifferent to the feelings of others
75. Break rules
76. Only feel comfortable with friends
77. Do a lot in my spare time
78. Dislike changes
79. Insult people
80. Do just enough work to get by
81. Easily resist temptations
82. Enjoy being reckless
83. Have difficulty understanding abstract ideas
84. Have a high opinion of myself
85. Waste my time
86. Feel that I'm unable to deal with things
87. Love life
88. Tend to vote for conservative political candidates
89. Am not interested in other people's problems
90. Rush into things
91. Get stressed out easily
92. Keep others at a distance
93. Like to get lost in thought
94. Distrust people
95. Know how to get things done
96. Am not easily annoyed
97. Avoid crowds
98. Do not enjoy going to art museums
99. Obstruct others' plans
100. Leave my belongings around
101. Feel comfortable with myself
102. Wait for others to lead the way
103. Don't understand people who get emotional
104. Take no time for others
105. Break my promises
106. Am not bothered by difficult social situations
107. Like to take it easy
108. Am attached to conventional ways
109. Get back at others
110. Put little time and effort into my work
111. Am able to control my cravings
112. Act wild and crazy
113. Am not interested in theoretical discussions
114. Boast about my virtues
115. Have difficulty starting tasks
116. Remain calm under pressure
117. Look at the bright side of life
118. Believe that we should be tough on crime
119. Try not to think about the needy
120. Act without thinking

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