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MODIFIED LOCKE-WALLACE
RELATIONSHIP ADJUSTMENT INVENTORY

1. Select the button on the scale line below which best describes the degree of happiness, everything considered, in your present relationship. The middle point, "happy" represents the degree of happiness which most people have in their relationship, and the scale gradually ranges on one side to those few who are very unhappy in relationship, and on the other, to those few who experience extreme joy or felicity in their relationship.

Very Unhappy
Happy
Perfectly Happy

 

State the approximate extent of agreement or disagreement between you and your partner on the following items. Select one response for each item.

Always Agree
Almost Always Agree
Occasionally Disagree
Frequently Disagree
Almost Always Disagree
Always Disagree
2. Handling family finances
3. Matters of recreation
4. Demonstrations of affection
5. Friends
6. Sex relations
7. Conventionality (right, good or proper conduct)
8. Philosophy of life
9. Ways of dealing with in-laws

10. When disagreements arise, they usually result in:
a. You giving in
b. Your partner giving in
c. Agreement by mutual give and take

11. Do you and your partner engage in outside interests together?
a. All of them
b. Some of them
c. Very few of them
d. None of them

12a. In leisure time do YOU generally prefer to be:
"on the go" OR stay at home?

12b. Does YOUR PARTNER generally prefer to be:
"on the go" OR stay at home?

13. Do you ever wish you had not gotten together with your partner?
a. Frequently
b. Occasionally
c. Rarely
d. Never

14. If you had your life to live over, do you think you would:
a. Commit to the same person
b. Commit to a different person
c. Not made a commitment

15. Do you confide in your partner?
a. Almost never
b. Rarely
c. In most things
c. In everything