| RELATIONSHIP SCALE QUESTIONNAIRE (Griffin & Bartholomew) Name:_______________________ date:_____________________ Please rate on a 1 to 5 scale how each item fits your characteristic style in close relationships. 1. Not all characteristic 2. Mostly not characteristic 3. Partly characteristic 4. Mostly characteristic 5. Very characteristic 1. I find it difficult to depend on other people. _____ 2. It is very important to me to feel independent. _____ 3. I find it easy to get emotionally close to others. _____ 4. I worry that I'll be hurt if I allow myself to become too close to others. _____ 5. I am comfortable without close emotional relationships. _____ 6. I want to be completely emotionally intimate with others. _____ 7. I worry about being alone. _____ 8. I and comfortable depending on other people. _____ 9. I find it difficult to trust others completely. _____ 10. I am comfortable having other people depend on me. _____ 11. I worry that others don't value me as much as I value them. _____ 12. It is very important to me to feel self-sufficient. _____ 13. I prefer not to have other people depend on me. _____ 14. I am uncomfortable being close to others. _____ 15. I find that others are reluctant to get as close as I would like. _____ 16. I preferred not to depend on others. _____ 17. I worry about having others not accept me. _____ ----------------------------------------------------------------------------------------------------------------------------------------------- fr 1,4,9,14 _____/4 =____ dis 2,5,12,13,16 _____/5=____ sec 3,7-R,8,10,17-R ____/5 =____ pre 5-R,6,11,15 ____/4 =____ |