Below are five statements that you may agree or disagree
with. Using the scale below, indicate your agreement with each
item by clicking the appropriate selection.
Please be open and honest in your responding.
In most ways my love life is close to my ideal.
Strongly agree
Agree
Slightly agree
Neither agree nor disagree
Slightly disagree
Disagree
Strongly disagree
The conditions of my love life are excellent.
Strongly agree
Agree
Slightly agree
Neither agree nor disagree
Slightly disagree
Disagree
Strongly disagree
I am satisfied with my love life.
Strongly agree
Agree
Slightly agree
Neither agree nor disagree
Slightly disagree
Disagree
Strongly disagree
So far I have gotten the important things I want in love life.
Strongly agree
Agree
Slightly agree
Neither agree nor disagree
Slightly disagree
Disagree
Strongly disagree
If I could live my love life over, I would change almost nothing.
Strongly agree
Agree
Slightly agree
Neither agree nor disagree
Slightly disagree
Disagree
Strongly disagree