Ten-Item Personality Inventory

Please write a number to indicate the extent to which you agree or disagree with each statement. Use the
following scale:

Disagree Disagree Disagree Neither Agree Agree Agree Agree

Strongly Moderately A Little Nor Disagree A Little Moderately Strongly

1 2 3 4 5 6 7

I see myself as…

___ Extraverted, enthusiastic.

___ Critical, quarrelsome.

___ Dependable, self-disciplined.

___ Anxious, easily upset.

___ Open to new experiences, complex.

___ Reserved, quiet.

___ Sympathetic, warm.

___ Disorganized, careless.

___ Calm, emotionally stable.

___ Conventional, uncreative.

*************************************************************************************


Typology: Experiences in Close Relationships

Instructions: Please read the following three paragraphs, and place an “X” next to the one that best describes your feelings about romantic relationships.

___ I find it relatively easy to get close to others and am comfortable depending on them and having them depend on me. I don’t often worry about being abandoned or about someone getting too close to me.

___ I am somewhat uncomfortable being close to others; I find it difficult to trust them completely, difficult to allow myself to depend on them. I am nervous when anyone gets too close, and often love partners want me to be more intimate than I feel comfortable being.

___ I find that others are reluctant to get as close as I would like. I often worry that my partner doesn’t really love me or won’t want to stay with me. I want to merge completely with another person, and this desire sometimes scares people away.

*************************************************************************************

Your age: ______years

Your sex:

 Male

 Female

Your sexual orientation:

 Homosexual (or predominantly homosexual)

 Heterosexual (or predominantly heterosexual)

 Bisexual

Your current relationship status (Please check all that apply):

 Single

 Casually dating one or more persons

 Seriously involved with one person

 Engaged or married

 Divorced or separated

 Widowed

How many full (biological) siblings do you have? _____

Within your set of full siblings, are you…?

 First-born

 Second-born or beyond

Which of the following best describes the relationship your biological parents have with each other?

 Never married to each other

 Married to each other at one time, but currently divorced or separated

 Currently married to each other

 One or both deceased

 Other; please clarify:

Thank you very much for your participation!

1