Psychology Today would like to include your results in our
Personality Survey Results will be analyzed by test designers Eileen
Donahue, Ph.D., and Keith Harary. Ph.D.. in cooperation with Oliver R
John, Ph.D. of the University of California at Berkeley and reported in
an upcoming issue of PT. Please return all five completed scorecards.
along with the survey form below to: PT Profile Survey 11. Psychology
Today 24 E. 23rd St., 5th Floor, N.Y., N.Y. 10010.
Partner A Information
Date of Birth (month/year): .../... Gender: --Male --Female
Check all that apply: --Single --Married
--Divorced --Widowed --Remarried
Do you have children?: --Yes --No If yes, what ages? ....
Highest Education Level: --High School --Some college
--Bachelors
--Masters --Doctorate
Employment Status: --Full-Time --Part-Time
--Retired --Not Employed
Circle the best description of your occupation: Homemaker
Clerical/Service Work Executive/Administrative
Professional/Technical Tradesman/Machine Operator/Laborer
Student Sales Marketing/Administrative
Middle Management Self-Employed/Business Owner
Partner B Information
Date of Birth (month/year): .../... Gender: --Male --Female
Check all that apply: --Single --Married
--Divorced --Widowed --Remarried
Do you have children?: --Yes --No If yes, what ages? ....
Highest Education Level: --High School --Some college
--Bachelors
--Masters --Doctorate
Employment Status: --Full-Time --Part-Time
--Retired --Not Employed
Circle the best description of your occupation: Homemaker
Clerical/Service Work Executive/Administrative
Professional/Technical Tradesman/Machine Operator/Laborer
Student Sales Marketing/Administrative
Middle Management Self-Employed/Business Owner
Relationship Information
Nature and length of the relationship (check all that
apply):
--Friendship, since ../.. (month/year)
--Romantic Partners, since ../.. (month/year)
--Living together, since ../.. (month/year)
--Married, since ../.. (month/year)
Thank you for participating in Part 3 of the PT/Berkeley
Personality Survey. The following information will allow us to combine
your responses to this test with your responses to previous and future
tests in PSYCHOLOGY TODAY. Responses will be kept strictly
confidential.
Name and address (optional):
Tags:
compatibility,
disagreement,
extent,
left hand column,
pairs,
partner,
perceptions,
personal relationships,
personality,
relationship,
scorecard,
sense of self,
test,
topics for discussion,
variations
