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*Copyright 2002 and 2003 by Jan Yager, Ph.D. (jyager@aol.com) P.O. Box 8038, Stamford, CT 06905-8038 All rights reserved (May not
be duplicated or reproduced without permission)
You should be 18 years of age or older to fill out and return this survey.
Thank you in advance for completing this confidential questionnaire for a new book-in-progress on
friendship. My book credits include When Friendship Hurts (Simon & Schuster, Fireside Books, 2002) and
Friendshifts: The Power of Friendship and How It Shapes Our Lives (Hannacroix Creek, 2nd edition, 1999).
Fill in as many questions as you can on this survey
and then just hit the "send" button at the end and I will receive
electronically. (Keep the survey completely anonymous or include your name, and
contact information, in confidence, for possible follow-up questions by e-mail
or phone.) If you would like a free article that I wrote on finding time for
your friends, as a way of saying "thanks for taking the time to complete this
survey," please provide your e-mail address. |
| Age |
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| Sex |
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| Marital status |
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| If married, what is
your spouse's occupation? |
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| Your job title
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| Your job
description/type of company |
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| # of employees
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| Highest degree obtained
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Do you have children?
Yes
No |
| If yes, what are their
ages and gender? |
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| State (and/or country)
where you reside |
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Where did you grow up?
(town, city, state, country) |
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Do you
have any brothers or sister?
Yes
No |
| If yes, what are their
ages and gender? |
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How many
friends do you currently have in each of the following friendship categories?
(For the purpose of this survey, a friend
is defined as someone you are not related to by birth (such as a sister or a
cousin) or by marriage (such as a spouse or sister-in-law) |
| Casual
friend(s) |
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| Close
friend(s) |
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| Best friend(s) |
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Do you
have any friends at work?
Yes
No |
| If yes,
how many friends in each friendship category: Casual friend(s) Close friend(s)
Best friend(s) |
| Casual
friend(s) |
|
| Close
friend(s) |
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| Best friend(s) |
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Has a
casual, close, or best friend ever betrayed you?
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If you answered yes, please explain in greater detail:
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Has a casual, close, or best friend ever been jealous of you?
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If you answered yes, please explain in greater detail:
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Have you
developed one new friendship in the last year?
Yes
No
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If yes, please explain if it is a casual, close, or best friendship and other details about the friendship:
|
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Do you
feel that you have enough close or best friends now?
Yes
No |
| If you answered no,
please explain: |
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Consider your closest current friend (This is the best, close, or casual friend that you are closest to besides a family
member, such as a sibling or cousin, or a spouse. This friend, for the purpose of this survey, should not be a spouse or
relative.)
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Do you consider this friend you are closest to a casual, close, or best friend?
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| How long ago did you first meet this friend? |
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How long did it take from meeting until you consider this person a
tried-and-true friend? |
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| How long have you been friends? |
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How did you meet this friend? (Please indicate the broad category of your answer as well as the specifics of
your choice, e.g. Through school (broad category) High school (type of school situation) In the "Other" line you could
also add details to your answer, if you wish, such as "In the last year semester of college, we sat next to each other
in science."
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| If
something wonderful happened to you, who is the very first person you would
tell? |
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Do you have any close or best friends who are the opposite sex from you?
Yes
No |
| What is your race?
|
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Do you
have any close or best friends who are a different race than you?
Yes
No
If yes, please explain |
| How would you describe
your relationship with your sibling(s) when you were growing up? |
|
| Other |
|
| "How would you describe
your relationship with your mother when you were growing up?" |
|
| Other |
|
| "How would you describe
your relationship with your father when you were growing up?" |
|
| Other |
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Have you
ever had to end a close or best friendship?
Yes
No |
| If yes, please explain:
|
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Has a
friend ever done something extra nice for you?
Yes
No |
| Please explain:
|
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Has a
friend ever done something really terrible to you?
Yes
No |
| If yes, please explain
|
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Do you
feel you have enough time to get together with your close or best
friends?
Yes
No |
| If no, please
explain: |
|
| What is
the one thing (pick only one item or fill in an item if your answer is missing
from the list below) you would like to learn about friendship? |
|
|
| Other |
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| What's the nicest thing
a work-related friend ever did for you? |
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| What's the worst thing
a work-related friend ever did to you? |
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Has a
friend from school (elementary school,l high school, college, or graduate
school) been helpful to you in finding a job?
Yes
No |
| If yes, please
explain: |
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Is there
someone you are related to by birth or by marriage that you consider to be like
a close or best friend?
Yes
No |
| If yes, who is that
person that you consider to be a close or friend as a well as a relative?
|
|
| Why do you consider
him/her a close (or best) friend? |
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Do you currently, or have you ever, had a boss at work that you considered a friend?
Yes
No |
| If yes, what kind of friend? |
|
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Please explain:
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Do you currently, or have you ever, have a co-worker at work that you consider a friend?
Yes
No |
| If yes, what kind of friend? |
|
|
Please explain:
|
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Do you currently, or have you ever, had an employee or subordinate that you consider a friend?
Yes
No |
| If yes, what kind of friend? |
|
|
Please explain:
|
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Do you have any close or best friends at work who are the opposite sex from you?
Yes
No |
| If yes, how many |
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Have you ever lost a full-time job or a client or a project (or been demoted or transferred to another department) because of a friend?
Yes
No
If yes, please explain |
| What is the one thing (pick only one item or fill in an item if your answer is missing from the list below) you would like to learn about work and friendship? |
|
|
| Other |
|
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In your experience, what have you found is the #1 benefit of having a friend at work is (select only one answer or fill in "other"):
|
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|
| Other |
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Have you ever been jealous of a casual, close, or best friend?
|
| If you answered yes, please explain in greater detail: |
|
Have you ever betrayed a casual, close, or best friend?
|
| If you answered yes, please explain in greater detail: |
|
Consider your current closest or best friend. Are you similar in weight,
e.g. both underweight, both overweight, or different in weight, e.g. one
is thin and the other is overweight, etc.
Similar
Different |
| Please explain: |
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Have weight issues ever been a factor in your current closest or best friendship?
Yes
No |
| If yes, please explain: |
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When you were a child, during your formative elementary through high school years, was weight a factor in your friendships?
Yes
No |
| If yes, please explain: |
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Have you made at least one close or best friendship that started out on the Internet?
Yes
No |
| If yes, please explain: |
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Have you made at least one casual friend that started out on the Internet?
Yes
No |
| If yes, please explain: |
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Have you found that the time you spend on the Internet is having an impact on your friendships?
Yes
No |
| If yes, please explain: |
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Are you finding you have less time for friendships in your home town because of the time you spend communicating with e-mail friends on the Internet?
Yes
No |
| If yes, please explain: |
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| Please use this space
to share any other information about your work situation, such as how many
employees at the company where you work, whether or not you are self-employed,
if you office is at home or outside, whether you have anyone reporting to you
and, if you do, how many, etc.: |
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Was there any event that occured in 2001, such as 9-11, that had an impact on your friendships?
Yes
No
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| If yes, what happened and in what way did it influence you toward your friends or your friendships? |
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Are you willing to do answer additional questions by e-mail, mail, or phone?
Yes
No
|
| If yes, please provide
contact information including your e-mail address, phone number (day or
evening), and/or mailing address |
|
| If you would like to
receive a free article on finding time for your friends, please provide your
e-mail address: |
|
| If you would like to
be informed when the results of this survey are tabulated and/or the new book
on friendship is available, please indicate your e-mail address, and/or a
mailing address so you could be notified. |
|
| Use the space below to
add any additional comments, anecdotes, or observations about friendship
including friendship at work or in your career as well as personal friendships,
finding time for friends, e-mail friendships, or any other issues raised in
this survey: |
|
| If possible, please
indicate how or where you learned about this survey: |
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