WHAT’S YOUR INTIMACYIQ?

QUESTION #1 Write A-F for each question to

indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at

allC. Seldom/Not

stronglyD. Sometimes/

Somewhat strongly

E. Often/Somewhat strongly

F. Always/very strongly

Do you enjoy people with notably unique personalities very different from yours?

QUESTION #2

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

Do you find it hard to tell whether the person you’re with is having a good time?

QUESTION #3

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

How sorry do you feel on hearing that someone is hurt, upset, in trouble or worried?

QUESTION #4

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

How happy do you feel when told that something good or exciting has happened to someone?

QUESTION #5

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Do you talk about your real feelings with people you care about?

QUESTION #6

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

Have you been told in some way that your behavior or reactions could be more mature?

QUESTION #7

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

Do you try to help someone feel less embarrassed, such as by sharing a similarly embarrassing experience of yours?

QUESTION #8

Write A-F for each question to indicate which response best describes you:

A. Never/Not at all B. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

How much do you complain?

QUESTION #9

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

Would it bother you if someone you were dating seriously, continued a main hobby or interest that you considered dumb or a waste of time?

QUESTION #10

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

While disagreeing, do you put the other person’s needs before your preferences or consider how you might both get what you want?

QUESTION #11

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

How often have you unintentionally embarrassed someone or hurt someone’s feelings?

QUESTION #12

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

When you’re used to doing things a certain way, does it bother you to have to change and do them differently?

QUESTION #13

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Should someone who deeply cares about you be able to understand your feelings and needs without you having to explain them?

QUESTION #14

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

When alone, do you spend your leisure time imaginatively or creatively, such as by making things or playing music?

QUESTION #15

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Do you feel uncomfortable around other people?

QUESTION #16

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

Do you give others the impression that you’re somewhat aloof, distant or disinterested?

QUESTION #17

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Have you felt younger students or children shouldn’t have privileges you didn’t have at that age?

QUESTION #18

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

When working with a group, do you usually volunteer to be responsible for a task?

QUESTION #19

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

Have others confided in you about their problems because they felt you’d understand?

QUESTION #20

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Does it bother you that teachers differ in homework, grading or classroom behavior policies?

QUESTION #21

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

When choosing a gift for someone you know well, do you usually know what the person likes?

QUESTION #22

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

When facing a difficult personal problem, do you ask others for advice?

QUESTION #23

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Do you convert awkward or embarrassing situations into enjoyable ones?

QUESTION #24

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Do you give in to others or let them have their way so they’ll think better of you?

QUESTION #25

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Do you think you’re too assertive, aggressive, nosy or abrupt with people?

QUESTION #26

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Do you get upset when little things go wrong or don’t turn out as you wanted?

QUESTION #27

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not

stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

Are others able to open up and share their feelings with you?

QUESTION #28

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

If your spouse continued enjoying a certain sport/activity once a week but you chose not to participate, would you feel left out?

QUESTION #29

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very strongly

When others feel uneasy or uptight, do you usually help them feel more at ease or relaxed?

QUESTION #30

Write A-F for each question to indicate which response best describes you:

A. Never/Not at allB. Rarely/Hardly at allC. Seldom/Not stronglyD. Sometimes/

Somewhat stronglyE. Often/Somewhat

stronglyF. Always/very

strongly

How hard is it for you to talk about your deeper thoughts and feelings honestly and seriously with someone you trust?

SCORING…

For questions: 2,6,8,9, 11-13, 15-17, 20, 24-26, 28, 30

Give yourself points: A=5 B=4 C=3 D=2 E=1 F=0

For questions: 1, 3-5, 7, 10, 14, 18, 19, 21-23, 27, 29

Give yourself points: A=0 B=1 C=2 D=3 E=4 F=5