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Please answer the following questions based on your relationship with your current partner.
Question 1. |
None of the time |
Some of the time |
Half of the time |
Most of the time |
All of the time |
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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 mark 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.
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.
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 current involvement in the care of your child(ren). 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. |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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Please tell me if you strongly disagree, disagree, agree, or strongly agree with the following statement:
Question 9. |
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 when you talk about the following things.
Question 10. How often do you DISAGREE about: |
Often Disagree |
Sometimes Disagree |
Hardly Ever Disagree |
Never Disagree |
We Don’t Talk About This |
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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 |