Revised

Weber State University Research Study

Thank you for your participation in this research study. All answers will be kept strictly confidential. Although you may skip any question you feel uncomfortable with, your full and complete cooperation is appreciated. This survey will be used in a research project designed to understand couple communication more effectively. Though we encourage you to discuss this questionnaire with your significant other, we ask that you do not discuss any answers until it is completed.
Please circle one.
How old are you? 18-25 25-35 35-45 45-55 55-older
What is your sex? Male Female
What is your yearly net household income? 0-20K 20K-40K 40K- 60K 60K-80K 80K-Up
What is your main ethnicity? African-American Asian Caucasian Latino Native-American other_______
If married, how many years have you been with your current spouse? _______
Most persons have disagreements in their relationships please indicate below the approximate extent of agreement or disagreement between you and your partner for each item on the following list.

1.) Philosophy of life____
2.) Aims, goals, and things believed important____
3.) Amount of time spent together____

5 4 3 2 1 0
Always Almost Always Occasionally Frequently Almost Always
Agree Agree Disagree Disagree Always Disagree Disagree

How often would you say the following events occur between you and your mate?

4.) Have a stimulating exchange of ideas_____
5.) Calmly discuss something together_____
6.) Work together on a project_____

0 1 2 3 4 5
Never Less than once or Once or Once a More
Once a month twice a month twice a week day often

7.) The dots on the following line represent different degrees of happiness in your relationship. The middle point, “happy,” represents the degree of happiness of most relationships. Please circle the dot which best describes the degree of happiness, all things considered, of your relationship.

0 1 2 3 4 5 6
• • • • • • •
Extremely Fairly A little Happy Very Extremely Perfect
Unhappy Unhappy Unhappy Happy Happy


Please choose the statement that best represents your desire (A or B, etc), then use the scales to rate the frequency of the action and how much love you feel when this action is displayed.

1.) I love for my spouse to compliment my appearance. A
I love that my spouse listens to my ideas and doesn’t rush to judge or criticize. B

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

2.) My spouse’s praise means a lot to me. A
It means a lot to me that my spouse gives me gifts I really like. C

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

3.) I can count on my spouse to help me with projects. D
I still get excited when opening a gift from my spouse. C

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

4.) My spouse’s reactions to my accomplishments are so encouraging. A
It means a lot to me when my spouse helps with something I know they hate. D

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

5.) My spouse’s love notes make me feel good. A
I love my spouse’s hugs. E

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

6.) Receiving special gifts from my spouse makes me happy. C
I enjoy long trips with my spouse. B

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

7.) I like to be alone with my spouse. B
Little things my spouse does for me mean a lot. D

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

8.) Just being around my spouse makes me feel good. B
I love it when my spouse rubs my back. E

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

9.) My spouse helps me a lot with things that are important to me. D
I’m sometimes amazed at how thoughtful my spouses gifts are to me. C

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

10.) I love it when my spouse just can keep his hands off of me. E
I love surprise gifts from my spouse. C

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

11.) Little things my spouse does for me means the world to me. D
I love it when my spouse hugs me. E

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

12.) Spending time with my spouse makes me happy. B
Even the smallest gift form my spouse is important to me. C

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

13.) No matter what we do, I love doing things with my spouse. A
Supportive comments from my spouse make me feel good. B

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

14.) I like for my spouse to sit close to me. E
My spouse tells me I look good and I like that. A

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

15.) I feel loved when my spouse puts her arm around me. E
I know my spouse loves me because she surprises me with gifts. C

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

16.) I look forward to seeing what my spouse gives me for my birthday C
I never get tired of hearing my spouse tell me that I am important to her. A

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

17.) I love having my spouse’s undivided attention. B
Keeping the house clean is an important act of service D

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

18.) I feel loved when my spouse tells me she is proud of me. A
When my spouse cooks a meal for me, I know that she loves me. D

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

19.) I like going most anywhere with my spouse. B
I like to hold my spouse’s hand E

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

20.) I feel loved when my spouse does my laundry. D
I like it when my spouse touches me. E

How often does your spouse do this preferred characteristic?
Very Often Often Sometimes Rarely Almost Never

How much love do you feel when this characteristic is displayed?
Very Loved Loved Neutral Not Very Loved Not Loved At All

If you are interested in reading the findings of this study, results will be posted on http://bigfatresearchpaper.blogspot.com in the early summer of 2008.