1.
I like to share my feelings with others.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
2.
I like to feel close to other people.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
3.
I like to listen to other people talk about their feelings.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
4.
I am concerned with rejection in my expression of feelings
to others.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
5.
I'm concerned with being dominated in a close relationship
with another.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
6.
I'm often anxious about my own acceptance in a close
relationship.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
7.
I'm concerned that I trust other people too much.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
8.
Expression of emotion makes me feel close to another
person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
9.
I do not want to express feelings that would hurt another
person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
10.
I am overly critical of people in a close relationship.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
11.
I want to feel close to people to whom I am attracted.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
12.
I tend to reveal my deepest feelings to other people.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
13.
I'm afraid to talk about my sexual feelings with a person
in whom I'm very interested.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
14.
I want to be close to a person who is attracted to me.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
15.
I would not become too close because it involves conflict.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
16.
I seek out close relationships with people to whom I am
attracted.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
17.
When people become close, they tend not to listen to each
other.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
18.
Intimate relationships bring me great satisfaction.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
19.
I search for close intimate relationships.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
20.
It is important to me to form close relationships.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
21.
I do not need to share my feelings and thoughts with
others.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
22.
When I become very close to another, I am likely to see
things that are hard for me to accept.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
23.
I tend to accept most things about people with whom I share
a close relationship.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
24.
I defend my personal space so others do not come too close.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
25.
I tend to distrust people who are concerned with closeness
and intimacy.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
26.
I have concerns about losing my individuality in close
relationships.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
27.
I have concerns about giving up control if I enter into a
really intimate relationship.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
28.
Being honest and open with another person makes me feel
closer to that person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
29.
If I were another person, I would be interested in getting
to know me.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
30.
I only become close to people with whom I share common
interests.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
31.
Revealing secrets about my sex life makes me feel close to
others.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
32.
Generally, I can feel just as close to someone of the same
sex as someone of the other sex.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
33.
When another person is physically attracted to me, I
usually want to become more intimate.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
34.
I have difficulty being intimate with more than one person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
35.
Being open and intimate with another person usually makes
me feel good.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
36.
I usually can see another person's point of view.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
37.
I want to be sure that I am in good control of myself
before I attempt to become intimate with another person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
38.
I resist intimacy.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
39.
Stories of interpersonal relationships tend to affect me.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
40.
Undressing with members of a group increases my feelings of
intimacy.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
41.
I try to trust and be close to others.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
42.
I think that people who want to become intimate have hidden
reasons for wanting closeness.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
43.
When I become intimate with another person, the possibility
of my being manipulated is increased.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
44.
I am generally a secretive person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
45.
I feel that sex and intimacy are the same, and one cannot
exist without the other.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
46.
I can only be intimate in a physical relationship.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
47.
The demands placed on me by those with whom I have intimate
relationships often inhibit my own satisfaction.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
48.
I would compromise to maintain an intimate relationship.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
49.
When I am physically attracted to another, I usually want
to become intimate with the person.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree
50.
I understand and accept that intimacy leads to bad feelings
as well as good feelings.
Select... Strongly
disagree Mildly disagree Agree and disagree equally Mildly
agree Strongly agree