STEPFAMILY FOUNDATION of ALBERTA

Introduction:

Instructions

• There is a total of 48 questions. 
• Every question requires an answer.
• Select the answer that best fits your present circumstances using the following key:

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Question  1: Parenting
Select a number below to show the degree of difficulty you are having with Parenting. Remember, a higher number indicates more difficulty.
	1 (No problem)
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	10 (Severe problem)
Question  2: Couple Time
Select a number below to show the degree of difficulty you are having with Couple Time.
	1 (No problem)
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	10 (Severe problem)
Question  3: Visitation
Show the degree of difficulty you are having with Visitation.
	1 (No problem)
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	10 (Severe problem)
Question  4: Discipline
Show the degree of difficulty you are having with Discipline.
	1 (No problem)
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	10 (Severe problem)
Question  5: Family Time
Show the degree of difficulty you are having with Family Time.
	1 (No problem)
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Question  6: His Ex
Show the degree of difficulty you are having with His Ex.
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Question  7: Her Ex
Show the degree of difficulty you are having with Her Ex.
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Question  8: Trust
Show the degree of difficulty you are having with Trust.
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Question  9: Intimacy
Show the degree of difficulty you are having with Intimacy.
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Question  10: Admiration
Show the degree of difficulty you are having with Admiration.
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Question  11: Honesty
Show the degree of difficulty you are having with Honesty.
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Question  12: Fidelity
Show the degree of difficulty you are having with Fidelity.
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Question  13: Sex
Show the degree of difficulty you are having with Sex.
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Question  14: Acknowledgement and Recognition
Show the degree of difficulty you are having with Acknowledgement and Recognition.
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Question  15: Finances
Show the degree of difficulty you are having with Finances.
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Question  16: Privacy
Show the degree of difficulty you are having with Privacy.
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Question  17: Money
Show the degree of difficulty you are having with Money.
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Question  18: Communication
Show the degree of difficulty you are having with Communication.
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Question  19: Scheduling
Show the degree of difficulty you are having with Scheduling.
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Question  20: Forgiving
Show the degree of difficulty you are having with Forgiving.
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Question  21: Criticism
Show the degree of difficulty you are having with Criticism.
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Question  22: Inheritance
Show the degree of difficulty you are having with Inheritance.
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Question  23: Rules
Show the degree of difficulty you are having with Rules.
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Question  24: Roles
Show the degree of difficulty you are having with Roles.
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Question  25: Conversation
Show the degree of difficulty you are having with Conversation.
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Question  26: Commitment
Show the degree of difficulty you are having with Commitment.
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Question  27: Sharing Housekeeping Responsibilities
Show the degree of difficulty you are having with Sharing Housekeeping Responsibilities.
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Question  28: Attractiveness of Spouse
Show the degree of difficulty you are having with Attractiveness of Spouse.
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Question  29: Holidays and Special Occasions
Show the degree of difficulty you are having with Holidays and Special Occasions.
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Question  30: Caught in the Middle.
Show the degree of difficulty you are having with Caught in the Middle.
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Question  31: Anger and Aggression
Show the degree of difficulty you are having with Anger and Aggression.
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Question  32: Disrespect
Show the degree of difficulty you are having with Disrespect.
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Question  33: Food, Meals and Diet
Show the degree of difficulty you are having with Food, Meals and Diet.
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Question  34: Hygiene
Show the degree of difficulty you are having with Hygiene.
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Question  35: Sibling/Stepsibling Relations
Show the degree of difficulty you are having with Sibling/Stepsibling Relations.
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Question  36: School Problems
Show the degree of difficulty you are having with School Problems.
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Question  37: Involvement with the Police
Show the degree of difficulty you are having with Involvement with the Police.
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Question  38: Involvement with the Courts
Show the degree of difficulty you are having with Involvement with the Courts.
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Question  39: Fees and Tuition
Show the degree of difficulty you are having with Fees and Tuition.
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Question  40: Unfairness
Show the degree of difficulty you are having with Unfairness.
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Question  41: Having Fun
Show the degree of difficulty you are having with Having Fun.
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Question  42: Recreation
Show the degree of difficulty you are having with Recreation.
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Question  43: Extended Family
Show the degree of difficulty you are having with Extended Family.
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Question  44: Chores
Show the degree of difficulty you are having with Chores.
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Question  45: Change
Show the degree of difficulty you are having with Change.
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Question  46: Overly Controlling Behaviour
Show the degree of difficulty you are having with Overly Controlling Behaviour.
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Question  47: Affection
Show the degree of difficulty you are having with Affection.
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Question  48: Guilt
Show the degree of difficulty you are having with Guilt.
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Scored by Helpmetrics © 2008

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Stepfamily Foundation of Alberta