Relationship Closeness Inventory

As seen on The Big Bang Theory

In the past week I spent how many hours alone and awake with X: 0h


In the past week, I did the following activities alone with X: (Check all that apply)



Please indicate the extent to which you agree or disagree with these statements

X will influence my future financial security.

 
Strongly disagree
Strongly agree

X influences important things in my life.

 
Strongly disagree
Strongly agree

X influences which parties and other social events I attend.

 
Strongly disagree
Strongly agree

X influences the extent to which I accept responsibilities in our relationship.

 
Strongly disagree
Strongly agree

X influences the way I feel about myself.

 
Strongly disagree
Strongly agree

X influences the basic values that I hold.

 
Strongly disagree
Strongly agree

X does not influence when I see, and the amount of time I spend with, my family

 
Strongly disagree
Strongly agree

X influences when I see, and the amount of time I spend with, my friends.

 
Strongly disagree
Strongly agree

X influences or will influence how much time I devote to my career.

 
Strongly disagree
Strongly agree

X influences the way I feel about the future.

 
Strongly disagree
Strongly agree

X influences and contributes to my overall happiness.

 
Strongly disagree
Strongly agree

X influences how I spend my free time.

 
Strongly disagree
Strongly agree

X influences when I see X and the amount of time the two of us spend together.

 
Strongly disagree
Strongly agree

X influences how I decorate my home (e.g., dorm room, apartment, house).

 
Strongly disagree
Strongly agree

X influences what I watch on TV.

 
Strongly disagree
Strongly agree

X does not influence everyday things in my life.

 
Strongly disagree
Strongly agree

X does not influence how much time I spend doing house-hold work

 
Strongly disagree
Strongly agree

X does not influence how I choose to spend my money.

 
Strongly disagree
Strongly agree

X does not influence my moods.

 
Strongly disagree
Strongly agree

X does not influence the opinions that I have of other important people in my life.

 
Strongly disagree
Strongly agree

X does not influence which of my friends I see.

 
Strongly disagree
Strongly agree

X does not influence the type of career I have.

 
Strongly disagree
Strongly agree

X does not influence my chances of getting a good job in the future.

 
Strongly disagree
Strongly agree

X does not have the capacity to influence how I act in various situations.

 
Strongly disagree
Strongly agree

X does not influence my present financial security.

 
Strongly disagree
Strongly agree

X does not influence how I dress.

 
Strongly disagree
Strongly agree

X does not influence where I live.

 
Strongly disagree
Strongly agree


Now we would like you to tell us how much X affects your future plans and goals. Please indicate the degree to which your future plans and goals are affected by X.

. my vacation plans

 
Not at all
To a great extend

. my marriage plans

 
Not at all
To a great extend

. my plans to have children

 
Not at all
To a great extend

. my plans to make major investments (house, car, etc.)

 
Not at all
To a great extend

. my plans to join a club, social organization, church, etc.

 
Not at all
To a great extend

. my school-related plans

 
Not at all
To a great extend

. my plans for achieving a particular financial standard of living

 
Not at all
To a great extend

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