acq-15

AREAS OF CHANGE QUESTIONNAIRE

Instructions

               In every relationship there are behaviors one or both partners seek to change. Behaviors may
               occur either too often or not often enough. For example, a partner may be dissatisfied because
               the other takes out the garbage only once a week. The desired change would be for this behavior
               to occur more often. On the other hand, one might be dissatisfied because too much time was
               being spent cleaning up the house; in this case the desired change would be for this behavior to
               occur less often. In other words, a person's dissatisfaction with partner performance of a particular
               behavior can be expressed as a desire for a behavior to occur either more or less often.

The following pages list typical behaviors which can cause relationship dissatisfactions. As you read
each item, decide whether you are satisfied with your partner's performance described in that item. If
you are satisfied with your partner's performance or if an item is not relevant to you, check the zero
point on the scale, meaning "NO CHANGE DESIRED."

If you are 'not satisfied’ with your partner's performance in a particular item, indicate the direction
of change in behavior you would like to see. Use the rating scale accompanying each item. If you
would prefer to see a particular behavior occur less often, make a check mark (\/) on the "minus"
half of the rating scale and indicate how much less you would like this behavior to occur. If you
would prefer to see a particular behavior occur more often, make a check mark on the "plus" half
of the rating scale to indicate how much more you would like this behavior to occur. Finally, as you
go through the list, please indicate which items you consider to be of major importance in your
relationship.

Please note that the scales change direction, so that much less is sometimes on the left, and at other
times on the right.

PART I


								Major Item:
1.. .participate in decisions about spending money	-3	-2	-1	0	+1	+2	+3	[ ]
	much	less	somewhat		somewhat	more	much
	less		less		more		more

2. spend time keeping the house clean	+3	+2	+1	0	-1	-2	-3	[ ]
	much	more	somewhat		somewhat	less	much
	more		more		less		less

3. ..have meals ready in time	+3	+2	+1	0	-1	-2	-3	[ ]
	much	more	somewhat		somewhat	less	much
	more		more		less		less

4. ...pay attention to his/her appearance	-3	-2	-1	0	+1	+2	+3	[ ]
	much	more	somewhat		somewhat	more	much
	less		less		more		more

5. .hit me	+3	+2	+1	0