Please answer the following 10 questions about
your mother or a mother-like figure
1. It helps to turn to this person in times of need.
strongly disagree
strongly agree
2. I usually discuss my problems and concerns with this person.
strongly disagree
strongly agree
3. I talk things over with this person.
strongly disagree
strongly agree
4. I find it easy to depend on this person.
strongly disagree
strongly agree
5. I don't feel comfortable opening up to this person.
strongly disagree
strongly agree
6. I prefer not to show this person how I feel deep down.
strongly disagree
strongly agree
7. I often worry that this person doesn't really care for me.
strongly disagree
strongly agree
8. I'm afraid that this person may abandon me.
strongly disagree
strongly agree
9. I worry that this person won't care about me as much as I care about him or her.
strongly disagree
strongly agree
10. I don't fully trust this person.
strongly disagree
strongly agree
 
Please answer the following 10 questions about
your father or a father-like figure
1. It helps to turn to this person in times of need.
strongly disagree
strongly agree
2. I usually discuss my problems and concerns with this person.
strongly disagree
strongly agree
3. I talk things over with this person.
strongly disagree
strongly agree
4. I find it easy to depend on this person.
strongly disagree
strongly agree
5. I don't feel comfortable opening up to this person.
strongly disagree
strongly agree
6. I prefer not to show this person how I feel deep down.
strongly disagree
strongly agree
7. I often worry that this person doesn't really care for me.
strongly disagree
strongly agree
8. I'm afraid that this person may abandon me.
strongly disagree
strongly agree
9. I worry that this person won't care about me as much as I care about him or her.
strongly disagree
strongly agree
10. I don't fully trust this person.
strongly disagree
strongly agree
 
Please answer the following 10 questions about
your dating or marital partner
. Note: If you are not currently in a dating or marital relationship with someone, answer these questions with respect to a former partner or a relationship that you would like to have with someone.
1. It helps to turn to this person in times of need.
strongly disagree
strongly agree
2. I usually discuss my problems and concerns with this person.
strongly disagree
strongly agree
3. I talk things over with this person.
strongly disagree
strongly agree
4. I find it easy to depend on this person.
strongly disagree
strongly agree
5. I don't feel comfortable opening up to this person.
strongly disagree
strongly agree
6. I prefer not to show this person how I feel deep down.
strongly disagree
strongly agree
7. I often worry that this person doesn't really care for me.
strongly disagree
strongly agree
8. I'm afraid that this person may abandon me.
strongly disagree
strongly agree
9. I worry that this person won't care about me as much as I care about him or her.
strongly disagree
strongly agree
10. I don't fully trust this person.
strongly disagree
strongly agree
 
Please answer the following 10 questions about
your best friend
1. It helps to turn to this person in times of need.
strongly disagree
strongly agree
2. I usually discuss my problems and concerns with this person.
strongly disagree
strongly agree
3. I talk things over with this person.
strongly disagree
strongly agree
4. I find it easy to depend on this person.
strongly disagree
strongly agree
5. I don't feel comfortable opening up to this person.
strongly disagree
strongly agree
6. I prefer not to show this person how I feel deep down.
strongly disagree
strongly agree
7. I often worry that this person doesn't really care for me.
strongly disagree
strongly agree
8. I'm afraid that this person may abandon me.
strongly disagree
strongly agree
9. I worry that this person won't care about me as much as I care about him or her.
strongly disagree
strongly agree
10. I don't fully trust this person.
strongly disagree
strongly agree
 
  Are you male or female?
 
Female
 
Male
 
  How old are you?
 
years
 
  Are you in a marriage or exclusive dating relationship with someone?
 
No
 
Yes
 
  If so, how long have you been with the person in question?
 
years
 
  Please select your country of residence.
 
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Canada
China
Japan
U.S.A.
---------
Abu Dhabi (United Arab Emirates)
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire (Netherlands Antilles)
Borneo (Indonesia)
Bosnia-Herzegovina
Botswana
Brazil
British Guiana (Guyana)
British Honduras (Belize)
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Ceylon (Sri Lanka)
Chad
Channel Islands (Great Britain)
Chile
China
Colombia
Comoros
Congo (Zaire)
Corsica
Costa Rica
Cote d lvoire (Ivory Coast)
Crete (Greece)
Croatia
Cuba
Curacao (Netherlands Antilles)
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Dubai (United Arab Emirates)
Ecuador
Egypt
El Salvador
England (Great Britain)
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Formosa (Taiwan)
France
France, Metropolitan (France)
French Guiana
French Polynesia
Gabon
Gambia
Georgia, Republic of
Germany
Ghana
Gibraltar
Great Britain and Northern Ireland
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man (Great Britain)
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (North Korea)
Korea (South Korea)
Kuwait
Kyrgyzstan
Labrador (Canada)
Laos
Latvia
Lebanon
Lesotho
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, Republic of
Madagascar
Maderia Islands
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco (France)
Mongolia
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Newfoundland (Canada)
Nicaragua
Niger
Nigeria
North Borneo (Malaysia)
Northern Ireland (Great Britain)
Norway
Okinawa (Japan)
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saba (Netherlands Antilles)
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland (Great Britain)
Senegal
Serbia-Montenegro
Seychelles
Siam (Thailand)
Singapore
Slovak Republic
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
St. Christopher and Nevis
St. Eustatius (Netherlands Antilles)
St. Helena
St. Lucia
St. Maarten (Netherlands Antilles)
St. Martin (Guadeloupe)
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tahiti (French Polynesia)
Taiwan
Tajikistan
Tanzania
Tasmania (Australia)
Thailand
Tibet (China)
Togo
Tonga
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (Great Britain)
United States (USA)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wales (Great Britain)
Wallis and Futuna Islands
Western Samoa
Yemen
Zambia
Zimbabwe
 
  Please select the option that best describes your ethnicity.
 
---
Black
Chicano
Chinese
Filipino
Indian/Pakistanian
Japanese
Korean
Latino
Other Asian
Native American
Pacific Islander
Puerto Rican
White/Caucasian
Other
 
  Have you taken this survey before??
 
No
 
Yes
 
Note: This program will not work correctly if you have left one or more questions unanswered.