Attitude Toward the Provision of Long-Term Care (ATPLTC) The following statements refer to personally providing care on an ongoing basis to a family member who is unable to meet all of his or her own needs in performing various activities of daily living.
Alzheimers Knowledge Self-Assessment Answer each question true or false. 1. Alzheimers disease can be contagious. 2. People will almost certainly get Alzheimers if they just live long enough. 3. Alzheimers disease is a form of insanity. 4. Alzheimers dise
For each of the following scenarios, discuss how you would react to the situation. 1. Your best friend comes to visit you who you haven't seen in 4 months. You have a few beers together and s/he starts disclosing information about occas
Family Violence Opinionnaire Indicate how strongly you agree or disagree with each of the following statements. SA=Strongly Agree, A=Agree, ?=Unsure, D=Disagree, SD=Strongly Disagree SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD
Abusive Behavior Inventory Circle the number that best represents your closest estimate of how often each of the behaviors happened in your relationship with your partner or former partner during the previous six months. 1 Never; 2 Rarely; 3 Occasionally;
SELF-ASSESSMENT: Stepfamily Success Scale
This scale is designed to measure the degree to which you and your partner might expect to have a successful stepfamily. There are no right or wrong answers. After carefully reading each sentence, circle the numbe
I Think Divorce
Complete the following statements. 1. 2. 3. 4. 5. 6. 7. Most people get divorced because. If I were to divorce, my parents would.; my friends would.; my church would. Two things that would prevent me from divorcing are. Two things that wou
Work and Family Opinionnaire Indicate how strongly you agree or disagree with each of the following statements. SA=Strongly Agree, A=Agree, ?=Unsure, D=Disagree, SD=Strongly Disagree
SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD
Self-Assessment: Attitudes toward Transracial Adoption Scale Transracial adoption is defined as the practice of parents adopting children of another racefor example, a white couple adopting a Korean or African-American child. Please read each item careful
Self Assessment: The Traditional Motherhood Scale
The purpose of this survey is to assess the degree to which students possess a traditional view of motherhood. Read each item carefully and consider what you believe. There are no right or wrong answers, s
Self-Assessment: The Traditional Fatherhood Scale The purpose of this survey is to assess the degree to which students have a traditional view of fatherhood. Read each item carefully and consider what you believe. There are no right or wrong answers, so p
Parenting Job Description
1. Create an ad for a parent. Provide a complete job description.
2. Develop a list of questions that you would ask someone applying for the position of parent. 3. Is it reasonable to expect a potential parent to do everything yo
Parental Nurturance Scale (PNS) For each of the following statements, indicate the number on the 5-point scale below that best describes how that statement applies to you and your mother. Try to read and think about each statement as it applies to you and
Parental Authority Questionnaire Instructions: For each of the following statements, circle the number of the 5point scale (1 = strongly disagree, 5 = strongly agree) that best describes how that statement applies to you and your mother. Try to read and t
SELF-ASSESSMENT: Maternal Employment Scale
Directions: Using the following scale, please mark a number on the blank next to each statement to indicate how strongly you agree or disagree with it. 1 2 3 4 5 6 Disagree Disagree Disagree Agree Agree Agree Ver
Interview your mother or father about your birth or interview your grandparents about your parent's birth. 1. 2. 3. 4. 5. 6. What was the nature of the pregnancy? Where did the birth take place? Who was in attendance at the birth? How did the p
I Want to Have a Child Someday?
(Assessment for Singles)
1. 2. 3. 4. 5.
Do I like children? Do I have enough love to give a child and can I express affection easily? Do I have the patience to raise a child? Can I tolerate noise and confusion? Can I de
Have I Adequately Discussed the Decision to Have a Child with My Partner?
(Couples without children) 1. 2. 3. 4. 5. 6. 7. Does my partner want to have a child? What are our reasons for having a child? Have we discussed our values and goals for our child:
SELF-ASSESSMENT: Student Sexual Risks Scale The following self-assessment allows you to evaluate the degree to which you may be at risk for engaging in behavior that exposes you to HIV. Safer sex means sexual activity that reduces the risk of transmitting
1. 2. 3. 4. 5. 6. 7. 8. 9. How do you define safer sex? What behaviors are associated with practicing safer sex? What do think are the key barriers to practicing safer sex? How would you bring up the subject of safer sex with a new partner? How
Learning about Sexuality
1. What were some important sources of learning about sexuality when you were growing up? 2. 3. 4. What role did your parents play in your learning about sexuality? What role do your school system play in your learning about sexua
Index of Sexual Satisfaction (ISS) This questionnaire is designed to measure the degree of satisfaction you have in the sexual relationship with your partner. It is not a test, so there are no right or wrong answers. Answer each item as carefully and as a
Self Assessment: The Relationship Involvement Scale This scale is designed to assess the level of your involvement in a current relationship. Please read each statement carefully, and write the number next to the statement that reflects your level of disa
Indicate how strongly you agree or disagree with each of the following statements. SA=Strongly Agree, A=Agree, ?=Unsure, D=Disagree, SD=Strongly Disagree SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD SA A ? D SD Marriage changes a
Limited Resources Time and energy are limited resources and it is not possible to have enough of these to be able to experience everything. We have to make decisions and set priorities. Assume that you are married and that you and your spouse each have a
Involved Couples Inventory Assessment The following questions are designed to increase your knowledge of how you and your partner think and feel about a variety of issues. Assume that you and your partner have considered getting married. Each partner shou
1The Relationship Questionnaire Read each statement and put an X in the appropriate box.
1=strongly disagree, 2=somewhat disagree, 3=neutral, 4=moderately agree, 5= strongly agree
How Strong is Your Relationship? 1. Each day I look forward to talking with
1Are you a Romantic or a Realist?
Write in the number that best represents the degree to which you agree or disagree with each sentence.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
1The NYU Loneliness Scale Circle the most appropriate answer 1. When I am completely alone, I feel lonely 10 almost never 16 occasionally 24 about half the time 32 often 40 most of the time How often do you feel lonely? 10 never or almost never 11 rarely
1Intimacy Questionnaire Assign a number that best describes how you feel concerning each of the following statements. Base your answers on what has been true for you for the greater part of your life. What comes most quickly to your mind is usually the be