STUDY OF EARLY FAMILY HISTORY AND LATER LIFE EVENTS

If you are taking this for LMU Subject Pool Credit

If you were referred to this study to get LMU Subject Pool credit, please enter the information below. Note: Your answers to this survey will remain confidential, will be used in statistical summaries only, and will be deleted when the study is completed.

Please enter the course number of the course to which the subject pool credit will be applied (e.g., 100).

Please enter the section number of the course (if you know it):

Please enter your instructor's last name:

Please enter the last 4 digits of your LMU student ID number:

If you were referred here by StudyResponse.com

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Demographic Information

Your sex:

male

female

Your age:

Relationship status:

If you are married, or cohabitating, how many years have you been living with your partner?

How would you describe your ethnic background (choose all that apply):

How would you describe your sexual orientation?

Heterosexual

Bisexual

Homosexual

The Future Lifespan Assessment

For this section, we want you to guess about certain events in your future. We want to know how likely you think each event will be during each decade of your life. Please indicate your estimate of the likelihood from 0 (extremely unlikely) to 10 (extremely likely) that you will have a certain event occurring at each decade of your life.

1. How likely is it that you'll be alive between 20-29? If you are older than the age range indicated, leave this item blank.

2. How likely is it that you'll be alive between 30-39? If you are older than the age range indicated, leave this item blank.

3. How likely is it that you'll be alive between 40-49? If you are older than the age range indicated, leave this item blank.

4. How likely is it that you'll be alive between 50-59? If you are older than the age range indicated, leave this item blank.

5. How likely is it that you'll be alive between 60-69? If you are older than the age range indicated, leave this item blank.

6. How likely is it that you'll be alive between 70-79? If you are older than the age range indicated, leave this item blank.

7. How likely is it that you'll be alive between 80-89? If you are older than the age range indicated, leave this item blank.

8. How likely is it that you'll be alive at 90+? If you are older than the age range indicated, leave this item blank.

1. How likely is it that you will remain healthy at 20-29? If you are older than the age range indicated, leave this item blank.

2. How likely is it that you will remain healthy at 30-39? If you are older than the age range indicated, leave this item blank.

3. How likely is it that you will remain healthy at 40-49? If you are older than the age range indicated, leave this item blank.

4. How likely is it that you will remain healthy at 50-59? If you are older than the age range indicated, leave this item blank.

5. How likely is it that you will remain healthy at 60-69? If you are older than the age range indicated, leave this item blank.

6. How likely is it that you will remain healthy at 70-79? If you are older than the age range indicated, leave this item blank.

7. How likely is it that you will remain healthy at 80-89? If you are older than the age range indicated, leave this item blank.

8. How likely is it that you will remain healthy at 90+? If you are older than the age range indicated, leave this item blank.

1. How likely is it that you will be financially secure at 20-29? If you are older than the age range indicated, leave this item blank.

2. How likely is it that you will be financially secure at 30-39? If you are older than the age range indicated, leave this item blank.

3. How likely is it that you will be financially secure at 40-49? If you are older than the age range indicated, leave this item blank.

4. How likely is it that you will be financially secure at 50-59? If you are older than the age range indicated, leave this item blank.

5. How likely is it that you will be financially secure at 60-69? If you are older than the age range indicated, leave this item blank.

6. How likely is it that you will be financially secure at 70-79? If you are older than the age range indicated, leave this item blank.

7. How likely is it that you will be financially secure at 80-89? If you are older than the age range indicated, leave this item blank.

8. How likely is it that you will be financially secure at 90+? If you are older than the age range indicated, leave this item blank.

1. How likely is it that you will be happily married at 20-29? If you are older than the age range indicated, leave this item blank.

2. How likely is it that you will be happily married at 30-39? If you are older than the age range indicated, leave this item blank.

3. How likely is it that you will be happily married at 40-49? If you are older than the age range indicated, leave this item blank.

4. How likely is it that you will be happily married at 50-59? If you are older than the age range indicated, leave this item blank.

5. How likely is it that you will be happily married at 60-69? If you are older than the age range indicated, leave this item blank.

6. How likely is it that you will be happily married at 70-79? If you are older than the age range indicated, leave this item blank.

7. How likely is it that you will be happily married at 80-89? If you are older than the age range indicated, leave this item blank.

8. How likely is it that you will be happily married at 90+? If you are older than the age range indicated, leave this item blank.

Please answer the following questions based on your experiences growing up (from birth to age 18).

1. How often did a parent or other adult in the household make you feel that you were loved, supported, and cared for?

2. How often did a parent or other adult in the household swear at you, insult you, put you down, or act in a way that made you feel threatened?

3. How often did a parent or another adult in the household express physical affection for you, such as hugging or other physical gesture of warmth and affection?

4. How often did a parent or other adult in the household push, grab, shove, or hit you so hard that you had marks or were injured?

5. In your childhood, did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?

6. Would you say that the household you grew up in was well-organized and well-managed?

Questions for females only (If you are a male -- leave this section blank, and skip to the section below.)

1. Pat says: “A woman can raise children successfully on her own.” Sue says: “Children need to have their father present when they are growing up.” Do you agree more with Pat or Sue? Check the number that comes closest to your own opinion:

2. Pat says: The economy is so uncertain and the divorce rate so high these days that I do not feel I will be able to rely on my husband to support my children Sue says: “I feel confident that my husband will be willing and able to support my children. Do you agree more with Pat or Sue? Check the number that comes closest to your own opinion:

3. Pat says: (When I get married) I hope that my marriage will last, but I know that we might get divorced. Sue says: (When I get married) I feel sure that my husband and I will never get divorced. Do you agree more with Pat or Sue? Check the number that comes closest to your own opinion:

4. Pat says: I think that most unmarried men would try to get out of supporting their children if they could get away with it. Sue says: I think that most unmarried men are as strongly committed to supporting their children as women are. Do you agree more with Pat or Sue? Check the number that comes closest to your own opinion:

5. Pat says: I don’t feel ready now to settle down with one man. Sue says: I feel ready now to settle down with one man. Do you agree more with Pat or Sue? Check the number that comes closest to your own opinion:

6. Pat says: I have a healthy attitude about sex, and do not feel the need for a long-term commitment in order to have sex with a man. Sue says: I would not want to have sex with a man unless I am convinced that he is serious about a long-term commitment. Do you agree more with Pat or Sue? Check the number that comes closest to your own opinion:

Please click the circle next to the number that best describes your own experience.

7. How important was your natural (biological) father to you in terms of financial support?

8. How important was your natural father to you in other ways (emotional support, practical help, etc.)?

9. How important was your natural (biological) mother to you in terms of financial support?

10. How important was your natural mother to you in other ways (emotional support, practical help, etc.)?

At what age did you experience your first menstrual period (your age at first menarche)?

Try to recall your first pregnancy that resulted in a live birth. About how many weeks early or late was your delivery (e.g. 0 if right on time, -3 if 3 weeks early, +2 if 2 weeks late, etc.)? Leave this question blank if it doesn't apply to you.

Try to recall your second pregnancy that resulted in a live birth. About how many weeks early or late was your delivery (e.g. 0 if right on schedule, -3 if 3 weeks early, +2 if 2 weeks late, etc.)? Leave this question blank if it doesn't apply to you.

Try to recall your third pregnancy that resulted in a live birth. About how many weeks early or late was your delivery (e.g. 0 if right on schedule, -3 if 3 weeks early, +2 if 2 weeks late, etc.)? Leave this question blank if it doesn't apply to you.

Try to recall your fourth pregnancy that resulted in a live birth. About how many weeks early or late was your delivery (e.g. 0 if right on schedule, -3 if 3 weeks early, +2 if 2 weeks late, etc.)? Leave this question blank if it doesn't apply to you.

At what age did you start menopause? (If you have not yet started menopause, leave this item blank.)

Questions for males only. (If you are a female -- leave this section blank, and skip to the next section below).

1. Don says: “A woman can raise children successfully on her own.” Bob says: “Children need to have their father present when they are growing up.” Do you agree more with Don or Bob? Check the number that comes closest to your own opinion:

2. Don says: “Men have a natural need for sexual variety, so a woman should not be bothered by occasional infidelity.” Bob says: “Infidelity is wrong, and cannot be condoned.” Do you agree more with Don or Bob? Check the number that comes closest to your own opinion:

3. Don says: “(When I get married) I hope that my marriage will last, but I know that we might get divorced.” Bob says: “(When I get married) I feel sure that my wife and I will never get divorced.” Do you agree more with Don or Bob? Check the number that comes closest to your own opinion:

4. Don says: “I think that most unmarried men would try to get out of supporting their children if they could get away with it.” Bob says: “I think that most unmarried men are as strongly committed to supporting their children as women are.” Do you agree more with Don or Bob? Check the number that comes closest to your own opinion:

5. Don says: “I don’t feel ready now to settle down with one woman.” Bob says: “I feel ready now to settle down with one woman.” Do you agree more with Don or Bob? Check the number that comes closest to your own opinion:

6. Don says: “A woman with a healthy attitude about sex will not feel the need for a long-term commitment in order to have sex with a man.” Bob says: “A woman will not want to have sex with a man unless she is convinced that he is serious about a long-term commitment.” Do you agree more with Don or Bob? Check the number that comes closest to your own opinion:

Please click on the circle next to the number that best describes your own experience

7. How important was your natural (biological) father to you in terms of financial support?

8. How important was your natural father to you in other ways (emotional support, practical help, etc.)?

9. How important was your natural (biological) mother to you in terms of financial support?

10. How important was your natural mother to you in other ways (emotional support, practical help, etc.)?

Questions for both males and females to answer.

Of the three statements below, check the bubble next to the statement that you find to be most typical of yourself.

I find it relatively easy to get close to others and am comfortable depending on them. 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 get very close to my partner, and this sometimes scares people away.

Using the following adjectives, which ones best describe how your father generally behaved toward you during your childhood?

Using the following adjectives, which ones best describe how your mother generally behaved toward you during your childhood?

Using the following adjectives, which ones best describe the relationship between your parents during your childhood?

Please answer the following questions about yourself.

1. I find it relatively easy to get close to others.

2. I find it difficult to trust others completely.

3. I am nervous when anyone gets too close to me.

4. I am comfortable having others depend on me.

5. I often want to merge completely with another person.

6. I am not sure that I can always depend on others to be there when I need them.

7. Others often want me to be more intimate than I am comfortable being.

8. My desire to merge sometimes scares people away.

9. I am comfortable depending on others.

10. I am somewhat uncomfortable being to close to others.

11. I often worry that my partner does not really love me.

12. I find it difficult to allow myself to depend on others

13. I rarely worry about being abandoned by others.

14. I find others are reluctant to get as close as I would like.

15. People are never there when you need them.

16. I often worry my partner will not want to stay with me.

17. I do not often worry about someone getting close to me.

18. I know that others will be there when I need them.

For the questions below, please rate the level that you feel accurately describes your relationship with your mother, your relationship with your father, and the relationship between your mother and father. (-7 = very low; +7 = very high)

In terms of your relationship with your mother, how did she behave toward you in terms of being:

In terms of your relationship with your father, how did he behave toward you in terms of being:

How much was your parent’s relationship toward each other:

Please indicate the degree to which you agree or disagree with the following statements

1. The kind of head-over heels romantic love depicted in novels and movies doesn’t exist in real life.

2. Intense romantic love is common at the beginning of a relationship, but it rarely lasts forever.

3. Romantic feelings wax and wane over the course of a relationship, but at times they can be as intense as they were at the start.

4. In some relationships, romantic love really lasts; it doesn’t fade with time.

5. Most of us could love many different people equally well; there is no “one true love” which is “meant to be.”

6. It’s easy to fall in love. I feel myself beginning to fall in love often.

7. It’s rare to find someone you can really fall in love with.

1. I am easier to get to know than most people.

2. I have more self-doubts than most people.

3. People almost always like me.

4. People often misunderstand me or fail to appreciate me.

5. Few people are as willing and able as I am to commit themselves to a long-term relationship.

6. People are generally well-intentioned and good-hearted.

7. You have to watch out in dealing with most people; they will hurt, ignore, or reject you if it suits their purposes.

8. I am more independent and self-sufficient than most people; I can get along quite well by myself.

Please indicate who was your primary guardian for each of the questions below.

1. Between the ages of 0 - 1 year old, with whom did you live for most the that year?

Both my biological mother and my biological father

My biological mother only

My biological mother and my step-father

My biological mother and my mother's boyfriend

My biological father only

My bioloigcal father and my step-mother

My biological father and my father's girlfriend

Other

With whom did you live between the ages of 1 and 2 for most of that year?

Both my biological mother and my biological father

My biological mother only

My biological mother and my step-father

My biological mother and my mother's boyfriend

My biological father only

My bioloigcal father and my step-mother

My biological father and my father's girlfriend

Other

Between the ages of 3 and 12, how many of these years did you live with your biological father?

Between the ages of 3 and 12, how much love and affection did you receive from your biological father (or, from a step father):

Between the ages of 13 and 18, how many of these years did you live with your biological father?

Between the ages of 13 and 18, how much love and affection did you receive from your biological father (or, from a step father):

1. With how many different partners have you had sex (sexual intercourse) within the past year?

2. How many different partners do you foresee youself having sex with during the next five years? (Please give a specific, realistic estimate.)

3. With how many different partners have you had sex on one and only one occasion?

4. How often do you fantasize about having sex with someone other than your current dating partner?

5. Sex without love is OK.

6. I can imagine myself being comfortable and enjoying "casual" sex with different partners.

7. I would have to be closely attached to someone (both emotionally and psychologically) before I could feel comfortable and fully enjoy having sex with him or her.

At what age did you first experience sexual intercourse?

About how many different sexual partners have you had in your entire lifetime?

For Females: At what age did you first become pregnant (regardless of whether the pregnancy ended with an abortion, miscarrage, or was brought to term).
For Males: At what age did you first impregnate a female (regardless of the outcome of the pregnancy)?
(Leave this item blank if you've never been pregnant, or gotten someone pregnant.)

How many children do you have that are biologically your own?

If you are married, how many years have you been married to your spouse? (Leave blank if you are not married).

If you are currently cohabitating (living together but not married), how many years have you and your partner been living together? (Leave this item blank if it does not apply to you.)

How many times have you been married?

With how many different relationship partners have you lived together with for at least 6 months (cohabitated, but were not married)?

Thank you for your participation in this research study. Please click the Submit button below to finish. Thank you!

	True	False
Responsive
Loving
Accepting
Respectful
Affectionate
Caring
Warm
Humorous
Sympathetic
Likeable

	True	False
Strong
Responsible
Understanding
Confident
Respectful
Cold
Intrusive
Demanding
Critical
Disinterested
Unfair
Rejecting
Unhappy

	True	False
Responsive
Loving
Accepting
Respected
Affectionate
Caring
Warm
Humorous
Sympathetic
Likeable

	True	False
Strong
Responsible
Understanding
Confident
Respectful
Cold
Intrusive
Demanding
Critical
Disinterested
Unfair
Rejecting
Unhappy

	True	False
Affectionate
Caring
Loving
Warm
Good-humored
Happy
Unhappy
Argumentative
Accepting
Cold
Disinterested
Critical
Understanding

1. Extremely Unlikely
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9.
10. Extremely Likely

1. Extremely Unlikely
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5.
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8.
9.
10. Extremely Likely

1. Extremely Unlikely
2.
3.
4.
5.
6.
7.
8.
9.
10. Extremely Likely

1. Extremely Unlikely
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3.
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9.
10. Extremely Likely