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Here is a sample of the questions in each section of the questionnaire:
I feel emotionally close to my partner.
I think my partner cares about me.
I feel confident we can deal with whatever problems might come up in our relationship.
I consider myself happy in this relationship.
My partner usually listens to me.
Our home life together feels chaotic.
There is a sense of disorder in our life together.
I am not able to function well in my own life while I am in this relationship.
Unplanned negative events keep happening to us.
We always have to adapt to changing circumstances.
Our arguments seem to come up out of nowhere.
I often seem to get blamed for issues.
My partner criticizes my personality.
My partner brings up issues abruptly or with poor timing.
I find my partner's negativity unnerving and unsettling.
I look forward to reunions with my partner at the end of each day.
During weekends, we do things together that we enjoy and value.
I look forward to our vacations and enjoy the travel we do together.
When we do errands together, we usually have a good time.
When we are burned out or tired, we have ways of becoming renewed.
Do you think you are an excessive drinker?
Have your friends suggested that you are an excessive drinker?
Have you ever attended an Alcoholics Anonymous Meeting to get help?
Have you ever lost friends or girlfriends/boyfriends because of your drinking?
Have you ever gotten into trouble at work because of your drinking?