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the Relationship Assessment Scale (RAS)
Please rate each question from 1 to 5.
8
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
How well does your partner meet your needs?
*
This field is required.
1.
1- Poorly
2
3- Average
4
5- Extremely well
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1.
1- Poorly
2
3- Average
4
5- Extremely well
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Row 0, Column 4
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3
In general, how satisfied are you with your relationship?
*
This field is required.
2.
1- Unsatisfied
2
3- Average
4
5- Extremely satisfied
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2.
1- Unsatisfied
2
3- Average
4
5- Extremely satisfied
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4
How good is your relationship compared to most?
*
This field is required.
3.
1- Poor
2
3- Average
4
5- Excellent
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3.
1- Poor
2
3- Average
4
5- Excellent
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5
How often do you wish you hadn’t gotten into this relationship?
*
This field is required.
4.
1- Never
2
3- Average
4
5- Very Often
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4.
1- Never
2
3- Average
4
5- Very Often
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6
To what extent has your relationship met your original expectations?
*
This field is required.
5.
1- Hardly at all
2
3- Average
4
5- Completely
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5.
1- Hardly at all
2
3- Average
4
5- Completely
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7
How much do you love your partner?
*
This field is required.
6.
1- Not much
2
3- Average
4
5- Very much
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6.
1- Not much
2
3- Average
4
5- Very much
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8
How many problems are there in your relationship?
*
This field is required.
7.
1- Very few
2
3- Average
4
5- Very many
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7.
1- Very few
2
3- Average
4
5- Very many
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