Initial assessment Couples Revised Dyadic Adjustment Scale - Intro Name(Required) First Last E-mail Address(Required) 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. Religious Matters(Required)Always AgreeAlmost Always AgreeOccasionally AgreeFrequently AgreeAlmost Always DisagreeAlways Disagree2. Demonstrations of affection(Required)Always AgreeAlmost Always AgreeOccasionally AgreeFrequently AgreeAlmost Always DisagreeAlways Disagree3. Making major decisions(Required)Always AgreeAlmost Always AgreeOccasionally AgreeFrequently AgreeAlmost Always DisagreeAlways Disagree4. Sex relations(Required)Always AgreeAlmost Always AgreeOccasionally AgreeFrequently AgreeAlmost Always DisagreeAlways Disagree5. Conventionality (correct or proper behavior)(Required)Always AgreeAlmost Always AgreeOccasionally AgreeFrequently AgreeAlmost Always DisagreeAlways Disagree6. Career decisions(Required)Always AgreeAlmost Always AgreeOccasionally AgreeFrequently AgreeAlmost Always DisagreeAlways Disagree7. How often do you discuss or have you considered divorce, separation, or terminating your relationship?(Required)All the TimeMost of the TimeMore often than notOccasionallyRarelyNever8. How often do you and your partner quarrel?(Required)All the TimeMost of the TimeMore often than notOccasionallyRarelyNever9. Do you ever regret that you married (or lived together)?(Required)All the TimeMost of the TimeMore often than notOccasionallyRarelyNever10. How often do you and your mate “get on each other’s nerves’’?(Required)All the TimeMost of the TimeMore often than notOccasionallyRarelyNever11. Do you and your mate engage in outside interests together?(Required)EverydayAlmost EverydayOccasionallyRarelyNeverHow often would you say the following events occur between you and your mate?12. Have a stimulating exchange of ideas(Required)NeverLess than once a monthOnce or twice a monthOnce or twice a weekOnce a dayMore often13. Work together on a project(Required)NeverLess than once a monthOnce or twice a monthOnce or twice a weekOnce a dayMore often14. Calmly discuss something(Required)NeverLess than once a monthOnce or twice a monthOnce or twice a weekOnce a dayMore oftenHow would you describe your relationship with yourself at the present time?If applicable, how would you describe your relationship with your partner at the present time?How would you describe your relationships in general?How hopeful are you that this program can be beneficial to you and your relationships?What do you hope to gain through participation in the SPICE program?04/18/2024 88613
