DAS Couple Relationship Adjustment Diagnostic Test - the question form

Questions: 20 · 4 minutes
Select Questionnaire Type
Male form
Female form
1. Religious matters
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
2. Demonstrations of affection
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
3. Friends
Always agree
Almost always agree
Sometimes disagree
Often disagree
Almost always disagree
Always disagree
4. Sexual relations
Always agree
Almost always agree
Sometimes disagree
Often disagree
Almost always disagree
Always disagree
5. Philosophy of life
Always agree
Almost always agree
Sometimes disagree
Often disagree
Almost always disagree
Always disagree
6. Ways of dealing with your partner’s relatives
Always agree
Almost always agree
Sometimes disagree
Often disagree
Almost always disagree
Always disagree
7. Recreational interests
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
8. Career advancement decisions
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
9. How often do you discuss, or have you ever considered, divorce, separation, or ending your relationship?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
10. How often do you or your partner leave the house after an argument?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
11. In general, how often do you feel that things are going well between you and your partner?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
12. How often do you feel you can rely on your partner?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
13. Have you ever regretted marrying (or living with) your partner?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
14. How often do the following occur between you and your partner? An exchange of stimulating ideas
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
15. Laugh together
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
16. Have a calm discussion about something
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
17. Working together on a joint project
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
18. Being too tired for sexual activity
Yes
No
19. Not showing love to your partner
Yes
No
20. Which of the following statements best describes how you feel about the future of your relationship?
I desperately want our relationship to work, and I am willing to do almost anything to achieve that.
I very much want our relationship to work, and I will do everything I can to make that happen.
I very much want our relationship to work, and I am willing to do my part to help make that happen.
It would be nice if our relationship worked out, but I am not able to put much more effort into it than I am right now.
It would be nice if our relationship worked out, but I refuse to do more than I am doing right now to maintain the relationship.
Our relationship has never worked, and there is nothing I can do to keep this relationship going.
1. Religious matters
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
2. Affection
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
3. Friends
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
4. Sexual relations
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
5. Life philosophy
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
6. Ways of dealing with your partner’s relatives
Always agree
Almost always agree
Sometimes disagree
Often disagree
Almost always disagree
Always disagree
7. Leisure time interests
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
8. Decisions about career advancement
Always agree
Almost always agree
Occasionally disagree
Frequently disagree
Almost always disagree
Always disagree
9. How often do you discuss, or have you ever considered, divorce, separation, or ending your relationship?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
10. How often do you or your partner leave the house after an argument?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
11. In general, how often do you feel that things between you and your partner are going well?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
12. How often do you feel confident in your partner and able to rely on them?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
13. Have you ever regretted marrying (or living with) your partner?
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
14. How often do the following occur between you and your partner? Stimulating exchange of ideas
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
15. Laugh together
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
16. Calm discussion of something
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
17. Working together on a project
Never
Less than once a month
Once or twice a month
Once or twice a week
Once a day
More often
18. Being too tired for sex
Yes
No
19. Lack of affection toward your partner
Yes
No
20. Which of the following statements best describes how you feel about the future of your relationship?
I desperately want our relationship to work, and I would do almost anything to make that happen.
I very much want our relationship to work, and I will do everything I can to make that happen.
I very much want our relationship to work, and I am willing to do my part to make that happen.
It would be nice if our relationship worked, but I am not able to put in much more effort than I am putting in now.
It would be nice if our relationship worked, but I refuse to do more than I am doing now to maintain the relationship.
Our relationship has never been successful, and there is nothing I can do to save it.
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