Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth

Cognitive Interview Questionnaire

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Question 1:

Please indicate whether you agree or disagree with the following statements. Would you say you strongly disagree, disagree, agree, or strongly agree with each statement?

Question 1	Strongly Disagree	Disagree	Agree	Strongly Agree
Love is not enough to form a lasting relationship.
Being in love is enough reason to get married.
Marriages are happy or unhappy and there is not much you can do to change it.
If you are happily married, you don’t need to work on your relationship.
Marriage is lifelong.
You should stay in a marriage for the kids.
It is okay to live with a boyfriend/girlfriend without being married.
It is okay to live with a boyfriend/girlfriend without a plan to be married.
It is okay to have kids without being married.
It is okay to have kids without a plan to be married.

Question 2:

In a healthy romantic relationship, how important is it that couples…

Question 2	Not important	Somewhat important	Very important	Extremely important
Do not cheat.
Do not call each other names.
Do not argue.
Give each other gifts.
Encourage each other when life is hard.
Support each other.
Enjoy spending time together.
Enjoy spending time with family.
Enjoy spending time with friends.

Question 3:

Avoiding bad romantic relationships as a teenager will help teens:

Question 3	Strongly Disagree	Disagree	Agree	Strongly Agree
Achieve their goals in life.
Have better lives.
Have a healthy marriage someday.

Question 4:

Please indicate whether you agree or disagree with the following statements. Please select strongly disagree, disagree, agree, or strongly agree.

Question 4	Strongly Disagree	Disagree	Agree	Strongly Agree
You can learn from all romantic relationships, even if they end.
Ending a bad romantic relationship is a good thing.
A romantic partner should help me achieve my goals.
A good romantic relationship should bring out the best in me.

Question 5:

Now please indicate whether you strongly disagree, disagree, agree, or strongly agree with the statements below.

A teen couple in a relationship should not:

Question 5	Strongly Disagree	Disagree	Agree	Strongly Agree
Date other people.
Have sex with other people.

Question 6:

Question 6	Not at all important	A little important	Somewhat important	Very important
How important do you think being faithful - that is not cheating on your partner by seeing other people - is for you?

Question 7:

Please indicate whether you agree or disagree with the following statements. Please select strongly disagree, disagree, agree, or strongly agree.

Question 7	Strongly Disagree	Disagree	Agree	Strongly Agree
Children should be raised by parents in a stable, healthy relationship.
Being raised by single parents is hard on kids.

Question 8:

When you think of your future, how likely is it that:

Question 8	Not at all	A Little	Somewhat	Probably	Definitely
You will be married to one person for life?
You will live with a boyfriend/girlfriend without being married?

Question 9:

When you think about your future before age 25, how likely is it that:

Question 9	Not at all	A Little	Somewhat	Probably	Definitely
You will be married.
You will have kids.

Question 10:

Please indicate how much you agree or disagree with the following statements. Would you say you strongly disagree, disagree, agree, or strongly agree that…

Question 10	Strongly Disagree	Disagree	Agree	Strongly Agree
My partner can trust me to keep their secrets.
I lie to my partner.
I listen to my partner when they talk about something that is important to them.
We are able to talk about things that really matter in life.

Question 11:

When you have a serious disagreement or argument how often do you:

Question 11	Never	Hardly Ever	Sometimes	Often
Stay mad at one another after an argument.
Scream or yell at your partner when you are angry.
Discuss your disagreements respectfully.

Question 12:

When you have a serious disagreement or argument how often are you:

Question 12	Never	Hardly Ever	Sometimes	Often
Honest and truthful with your partner.
Good at working out differences between you and your partner.
Mean to your partner when you disagree.
Able to talk about anything with your partner.

Question 13:

When you have a serious disagreement with your partner, how often do you:

Question 13	Never	Hardly Ever	Sometimes	Often
Find a way to work things out.
Discuss a problem without making things worse.
Respect your partner’s point of view.
Just walk away.
Storm out.
Avoid talking about it.
Feel that there is no point talking about it.
Get so angry you want to break or smash something.
Feel uncomfortable talking about your thoughts and feelings.

Question 14:

Please indicate how much the items below sound like you.

Question 14	Not at all like me	A little like me	Somewhat like me	A lot like me	Exactly like me
I help my partner be the best they can be.
I support my partner in doing well in school.
I help my partner avoid making mistakes that hurt them in life.
I help my partner make good decisions.
I help my partner achieve their goals in life.
I help my partner have a good reputation.

Question 15:

Please indicate how often you have done the following in the past week:

Question 15	Not at all	Once	Once every few days	Once a day	More than once a day
How often did you talk to your partner in person?
How often did you communicate with your partner using technology?

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Attachment C- 3M Cognitive Interview Instrument for High School Aged Youth