Name
*
First Name
Last Name
Email
*
The degree of closeness between family members.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
Your family’s ability to cope with stress.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
Your family’s ability to be flexible
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
Your family’s ability to share positive experiences.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
The quality of communication between family members.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
Your family’s ability to resolve conflicts.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
The amount of time you spend together as a family.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
The way problems are discussed.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
The fairness of criticism in your family.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
Family members are concerned for each other.
1. Very Dissatisfied
2. Somewhat Dissatisfied
3. Generally Satisfied
4. Very Satisfied
5. Extremely Satisfied
Directions for Scoring & Interpretation
1. Add all items of the Family Satisfaction scale.
2. The sum of these items is the Raw Score.
3. The range of scores is from 10-50.
Satisfaction score:
Family members are satisfied with how they communicate with each other.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members are very good listeners.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members express affection to each other.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members are able to ask each other for what they want
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members can calmly discuss problems with each other.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members discuss their ideas and beliefs with each other.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
When family members ask questions of each other, they get honest answers.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members try to understand each other’s feelings.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
When angry, family members seldom say negative things about each other.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Family members express their true feelings to each other.
1. Strongly Disagree
2. Generally Disagree
3. Undecided
4. Generally Agree
5. Strongly Agree
Directions for Scoring & Interpretation
1. Add all items of the Family Communication scale.
2. The sum of these items is the Raw Score.
3. The range of scores is from 10-50.
Communication score: