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Please answer the following questions based on your relationship with your current partner.
Question 1. |
Yes |
No |
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Now please tell me how often you or your partner does the following things:
Question 2. |
None of the time |
Some of the time |
Half of the time |
Most of the time |
All of the time |
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Question 3.
Thinking about blended families in general, please circle the extent to which you agree or disagree with each of the following statements:
Would you say you strongly disagree, disagree, agree, or strongly agree that:
Question 3. |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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Please report how much you agree or disagree with the following statements. Please select strongly agree, agree, disagree, or strongly disagree.
Since taking this class:
Question 4. |
Strongly disagree |
Disagree |
Agree |
Strongly agree |
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Since taking this class, how likely is it that:
Question 5. |
Much less likely |
Somewhat less likely |
About the same |
Somewhat more likely |
Much more likely |
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For each of these items, do you strongly agree, agree, disagree, or strongly disagree with the statement:
Question 6. |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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Below are a number of issues that may be experienced by blended families.
Please indicate how often you experience difficulty:
Question 7. |
None of the time |
Some of the time |
Half of the time |
Most of the time |
All of the time |
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The following statements are about [YOUR PRIOR PARTNER] and their involvement in the care of your children. Please answer if the statement is true none of the time, some of the time, half of the time, most of the time, or all of the time.
Question 8. |
None of the time |
Some of the time |
Half of the time |
Most of the time |
All of the time |
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Please tell me if you strongly disagree, disagree, agree, or strongly agree with the following statement:
Question 10. |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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Now I would like to read you a list of issues that parents may have disagreements about. Please tell me how often you and [PREVIOUS PARTNER NAME] disagree about the following things:
Question11. |
Often |
Sometimes |
Hardly Ever |
Never |
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Attachment A- 3M Cognitive Interview Instrument for Parents in Complex Families
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | shickman |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |