Power Factors Exploration Survey

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* 1. What is your age?

Under 18

18 - 29

30 - 44

45 - 59

60+

Prefer not to answer

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* 2. What is your gender?

Female

Male

Non-binary

Prefer not to answer

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

Prefer not to answer

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* 4. What is the highest level of education you have completed?

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* 5. How much total combined money did all members of your HOUSEHOLD earn last year?

$0 to $9,999

$10,000 to $24,999

$25,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $124,999

$125,000 to $149,999

$150,000 to $174,999

$175,000 to $199,999

$200,000 and up

Prefer not to answer

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* 6. Which of the following best describes your current relationship status?

Married

Widowed

Divorced

Separated

In a domestic partnership or civil union

Single, but cohabiting with a significant other

Single, never married

Prefer not to answer

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* 7. Think about your current or most recent romantic relationship. How evenly is/was control and the power to make decisions distributed between you and your partners?

I have full control

Power is Evenly Shared

My partner has full control

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. In your view, what three factors most affect the distribution of power in a relationship?

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* 9. Next is a list of factors that give you power in a relationship. Please rate each on how important they are to you in determining your power.

	Not Important at All	Somewhat Important	Very Important	Extremely Important
household skills	household skills Not Important at All	household skills Somewhat Important	household skills Very Important	household skills Extremely Important
family support	family support Not Important at All	family support Somewhat Important	family support Very Important	family support Extremely Important
business connections	business connections Not Important at All	business connections Somewhat Important	business connections Very Important	business connections Extremely Important
handiness	handiness Not Important at All	handiness Somewhat Important	handiness Very Important	handiness Extremely Important
mental stability	mental stability Not Important at All	mental stability Somewhat Important	mental stability Very Important	mental stability Extremely Important
nationality	nationality Not Important at All	nationality Somewhat Important	nationality Very Important	nationality Extremely Important
Technical literacy	Technical literacy Not Important at All	Technical literacy Somewhat Important	Technical literacy Very Important	Technical literacy Extremely Important
job	job Not Important at All	job Somewhat Important	job Very Important	job Extremely Important
driving skills	driving skills Not Important at All	driving skills Somewhat Important	driving skills Very Important	driving skills Extremely Important
intelligence	intelligence Not Important at All	intelligence Somewhat Important	intelligence Very Important	intelligence Extremely Important
language skills	language skills Not Important at All	language skills Somewhat Important	language skills Very Important	language skills Extremely Important
physical health	physical health Not Important at All	physical health Somewhat Important	physical health Very Important	physical health Extremely Important
age	age Not Important at All	age Somewhat Important	age Very Important	age Extremely Important
race	race Not Important at All	race Somewhat Important	race Very Important	race Extremely Important
sex drive	sex drive Not Important at All	sex drive Somewhat Important	sex drive Very Important	sex drive Extremely Important
wealth & money	wealth & money Not Important at All	wealth & money Somewhat Important	wealth & money Very Important	wealth & money Extremely Important
worldliness	worldliness Not Important at All	worldliness Somewhat Important	worldliness Very Important	worldliness Extremely Important
sense of orientation	sense of orientation Not Important at All	sense of orientation Somewhat Important	sense of orientation Very Important	sense of orientation Extremely Important
child-rearing	child-rearing Not Important at All	child-rearing Somewhat Important	child-rearing Very Important	child-rearing Extremely Important
style and fashion	style and fashion Not Important at All	style and fashion Somewhat Important	style and fashion Very Important	style and fashion Extremely Important
status	status Not Important at All	status Somewhat Important	status Very Important	status Extremely Important
likeability	likeability Not Important at All	likeability Somewhat Important	likeability Very Important	likeability Extremely Important
physical strength	physical strength Not Important at All	physical strength Somewhat Important	physical strength Very Important	physical strength Extremely Important
beauty	beauty Not Important at All	beauty Somewhat Important	beauty Very Important	beauty Extremely Important
education	education Not Important at All	education Somewhat Important	education Very Important	education Extremely Important
self-confidence	self-confidence Not Important at All	self-confidence Somewhat Important	self-confidence Very Important	self-confidence Extremely Important
socio-economic class	socio-economic class Not Important at All	socio-economic class Somewhat Important	socio-economic class Very Important	socio-economic class Extremely Important
creativity	creativity Not Important at All	creativity Somewhat Important	creativity Very Important	creativity Extremely Important
friendships	friendships Not Important at All	friendships Somewhat Important	friendships Very Important	friendships Extremely Important
career	career Not Important at All	career Somewhat Important	career Very Important	career Extremely Important
religion	religion Not Important at All	religion Somewhat Important	religion Very Important	religion Extremely Important
title	title Not Important at All	title Somewhat Important	title Very Important	title Extremely Important
gender	gender Not Important at All	gender Somewhat Important	gender Very Important	gender Extremely Important

Power Factors Exploration

Welcome to my Survey

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* 1. What is your age?

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* 2. What is your gender?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 4. What is the highest level of education you have completed?

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* 5. How much total combined money did all members of your HOUSEHOLD earn last year?

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* 6. Which of the following best describes your current relationship status?

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* 7. Think about your current or most recent romantic relationship. How evenly is/was control and the power to make decisions distributed between you and your partners?

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* 8. In your view, what three factors most affect the distribution of power in a relationship?

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* 9. Next is a list of factors that give you power in a relationship. Please rate each on how important they are to you in determining your power.

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* 10. Do you have any thoughts or observations you’d like to share?