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WOMEN'S SEXUALITIES
Generations of Women Share
Intimate Secrets of Sexual Self-Acceptance

 

 

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Questionnaire
C. Please Tell Us About Your Family of Origin.

 

For many of the questions that follow you will answer by circling a number on a scale from 1 to 7:

I = Strongly Disagree

5 = Slightly Agree
2 = Disagree

6 = Agree
2 = Disagree
6 = Agree

3 = Slightly Disagree

7 = Strongly Agree
4 = Equally Agree and Disagree

0 = Not Applicable to my Experience (NA)

The questions in this section are about your growing up years. Mother and Father refer to the "parent(s)" who raised you. Circle "0" to mean "no mother figure" or "no father figure."

While I was growing up (circle the best answer for each statement):

  1. My mother and father openly demonstrated physical affection for each other.


    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0






    a. My father affectionately touched (for example, hugged) me.


    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0





    b. This affection was appropriately expressed.



    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0





    a. My mother affectionately touched me.


    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0




    b. This affection was appropriately expressed.

    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0





    I felt free to express my own opinions at home.


    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0





    Sexuality was often discussed in my family.


    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0





    a. My mother's attitude toward sex was generally positive.


    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0





    b. My father's attitude toward sex was generally positive.



    Strongly Disagree
    Strongly Agree
    NA
    1
    2
    3
    4
    5
    6
    7
    0



Remember

The questionnaire is here for VIEWING ONLY.
Please DO NOT send your answers to me.

Copyright 1998, Carol Ellison, Ph.D.