Survey#

Section I: Power
The following questions refer to the perceived power a partner holds in a heterosexual
romantic relationship. Please answer the questions carefully one by one while taking
into account your own personal romantic relationship. Please circle the number that
best represents your answer.
1. Most of the time, we do what my partner wants to do.
Strongly Disagree

Strongly Agree

Strongly Agree

2. My partner wont let me wear certain things.

Strongly Disagree

3. When my partner and I are together, Im pretty quiet.

Strongly Disagree

Strongly Agree

4. My partner has more say than I do about important decisions that affect us.
Strongly Disagree

Strongly Agree

Strongly Agree

Strongly Agree

5. My partner tells me who I can spend time with.

Strongly Disagree

6. I feel trapped or stuck in our relationship.

Strongly Disagree

7. My partner does what he/she wants, even if I dont want them to.
Strongly Disagree

Strongly Agree

8. I am more committed to our relationship than my partner is.

Strongly Disagree

Strongly Agree

9. When my partner and I disagree, he/she gets his/her way most of time.
Strongly Disagree

Strongly Agree

10. My partner gets more out of our relationship than I do.

Strongly Disagree

Strongly Agree

Strongly Agree

11. My partner always wants to know where I am.

Strongly Disagree

12. I have a higher education status, therefore I have more power in my relationship.
Strongly Disagree

Strongly Agree

13. I have a higher financial status, therefore I have more power in my relationship.
Strongly Disagree

Strongly Agree

Section II: Decision-Making

The following questions refer to the perceived dominance in decision making in a
heterosexual romantic relationship. Please answer the questions carefully one by one

while taking into account your own personal romantic relationship. Please circle the
number that best represents your answer.
1. I usually have more say about whose friends to go out with.
Strongly Disagree

Strongly Agree

2. I usually have more say about what you do together.

Strongly Disagree

Strongly Agree

3. I usually have more say about how often you see one another.
Strongly Disagree

Strongly Agree

4. I usually have more say about when we talk about serious things.
Strongly Disagree

Strongly Agree

5. In general, I think I have more power in your when making minor or major
decisions.
Strongly Disagree 1
2
3
4
5
Strongly Agree

Section III: Satisfaction

The following questions refer to the perceived overall satisfaction in your
heterosexual romantic relationship. Please answer the questions carefully one by one
while taking into account your own personal romantic relationship. Please circle the
number that best represents your answer.
1.

Does your partner meet your needs?

Strongly Disagree

Strongly Agree

2. In general, are you more satisfied in your relationship?

Strongly Disagree

Strongly Agree

3. Do you feel your relationship is good compared to most?

Strongly Disagree

Strongly Agree

Strongly Agree

4. Do you often regret entering the relationship?

Strongly Disagree

5. Do you feel your relationship has met your expectations?

Strongly Disagree

Strongly Agree

Strongly Agree

6. Do you love your partner?

Strongly Disagree

7. Do you feel you have too many problems in your relationship?

Strongly Disagree

Strongly Agree

8. Do you see marriage with your partner in the future?

Strongly Disagree

Strongly Agree

Section VII:
Directions: Please provide the following information about yourself
1. Age: ________
2. Female _____

Male _____

3. Your ethnic background (check one):

_____American Indian/Alaskan Native _____Asian/Pacific Islander
_____Black/Non-Hispanic _____Hispanic

_____White/Non-Hispanic

_____Other
4. Age of your partner ____
5. Sex of your partner _____
6. Are you still in the relationship? Yes___ No___
7. If yes to #6, how long?