TCU/PMES SCALES ON
FAMILY, FRIENDS, AND SELF
PART A
instructions (to be read aloud to respondent). I would now like to ask you some questions about you and your parents, family, and friends. Using the answer card that I will
give you, tell me your answer after I read each question.
[hand respondent card a]
some-almost
read each item and circle answerneverrarelytimesoftenalways
1. Is there a feeling of togetherness
...... in your family? 0 1 2 3 4
2. Are there times each day when
...... your family is all together? 0 1 2 3 4
3. Are there exact rules you have
...... to follow in your family? 0 1 2 3 4
4. Do you spend time hanging out
...... with your friends? 0 12 3 4
5. Can you think of things that you
...... like about yourself? 0 1 2 3 4
6. Do members of your family say
...... bad things about each other? 01 2 3 4
7. How often do your parents punish
...... you in some way when you do
...... something wrong? 0 12 3 4
8. How often do your parents try
...... to understand what you need
...... to be happy? 0 1 2 3 4
9. Do you spend a lot of your free time
...... with friends? 0 1 2 3 4
10. How often does your family sit down
...... to eat together at the same time? 0 1 2 3 4
11. How often do members of your family
...... get really mad at one another? 0 1 2 3 4
12. Do you make more decisions
...... than your parents about things
...... you do and places you go? 0 1 2 3 4
13. Are you proud of how you act
...... and the things you do? 0 1 2 3 4
14. How often do your family members
...... hit or yell at each other? 0 1 2 3 4
15. How often do your parents
...... pay attention to what you say? 0 1 2 3 4
Continue to Next Page
Part A (Continued)
some-almost
read each item and circle answerneverrarelytimesoftenalways
16. How often do you and your friends
...... spend time together after school? 0 1 2 3 4
17. Do you think you have a lot
...... to be proud of? 0 1 2 3 4
18. Are there many arguments or fights
...... in your family? 0 1 2 3 4
19. How often do your parents try
...... to cheer you up when you're sad? 0 1 2 3 4
20. Do your parents let you go anywhere
...... you please without asking? 0 1 2 3 4
21. Do your best friends spend
...... a lot of time hanging out? 0 1 2 3 4
22. How often do your parents tell you
...... they love and care about you? 0 1 2 3 4
23. Are you happy and satisfied
...... with yourself? 0 1 2 3 4
24. How often do your parents
...... make decisions for you? 0 1 2 3 4
25. When you have a problem,
...... does someone in your family
...... help you out? 0 1 2 3 4
26. Do your parents let you off easy
...... when you do something wrong? 0 1 2 3 4
27. How often do your parents really listen
...... to your problems? 0 12 3 4
28. When you do something, do you
...... think you do it well? 0 1 2 3 4
29. Do you spend time at your
...... friends' houses? 0 1 2 3 4
30. Are there definite rules
...... set in your family? 0 12 3 4
31. How often do your parents make
...... you feel they love you? 0 1 2 3 4
32. How often does your family try do
...... things that are fun for everyone? 0 1 2 3 4
Continue to Next Page
PART B
In this part, I would like to ask you some questions about your friends. Using the Answer Card that I will give you, tell me your answer after I read each question.
(hand respondent card b]
read each item and circle answer nonea fewsomemostall
How many of your friends --
1. like to play sports? ...... 0 1 2 3 4
2. know your parents? ...... 0 1 2 3 4
3. get all good grades at school? ...... 0 1 2 3 4
4. do your parents like? ...... 0 1 2 3 4
5. like school? ...... 0 1 2 3 4
6. do homework after school or at night? ...... 0 1 2 3 4
7. do things that might get them into trouble
...... with the law? 0 1 2 3 4
8. have ever used a weapon (like a gun, knife, or club)
...... in a serious fight? 0 1 2 3 4
9. want to go to college? ...... 0 1 2 3 4
10. like your parents? ...... 0 1 2 3 4
11. have been in trouble with the police
...... because of alcohol or drugs? 0 1 2 3 4
12. have quit or want to quit school? ...... 0 1 2 3 4
13. are in clubs or other organizations
...... such as scouts? 0 1 2 3 4
14. have damaged other peoples' property
...... on purpose? 0 1 2 3 4
15. do your parents know? ...... 0 1 2 3 4
16. like to read books after school? ...... 0 1 2 3 4
17. have ever been stopped or picked up
...... by the police? 0 1 2 3 4
18. do things that might get them into trouble
...... at school? 0 1 2 3 4
Continue to Next Page
PART C
In this part, I would like to ask you some questions about various people and things in your life. Using the answer card that I will give you, tell me your answer after I read each question.
[hand respondent card c]
verymostlyneither happymostlyvery
read each item and circle answerunhappyunhappynor unhappyhappyhappy
How do you feel about --
1. your school? ...... 0 1 2 3 4
2. your family? ...... 0 1 2 3 4
3. the house or place
...... where you live? 0 1 2 3 4
4. the things you and your
...... family have, like bicycles,
...... cars, boats, TVs, radios, and
...... other things? 0 1 2 3 4
5. your teachers at school? ... 0 1 2 3 4
6. the amount of money that you
...... and your family have? 0 1 2 3 4
7. the courses you are taking
...... at school? 0 1 2 3 4
8. the way you get along
...... with your parents? 0 1 2 3 4
9. your school principal? .... 0 1 2 3 4
10. your life in general? ..... 0 1 2 3 4
End of Survey -- Thanks!!
tcu forms/pmes/ffs(8/91)1 of 4
ANSWER CARD A
[0]. NEVER
[1]. RARELY
[2]. SOMETIMES
[3]. OFTEN
[4]. ALMOST ALWAYS
tcu forms/pmes/ffs(8/91)
ANSWER CARD B
[0]. NONE
[1]. A FEW
[2]. SOME
[3]. MOST
[4]. ALL
tcu forms/pmes/ffs(8/91)
ANSWER CARD C
[0]. VERY UNHAPPY
[1]. MOSTLY UNHAPPY
[2]. NEITHER HAPPY
NOR UNHAPPY
[3]. MOSTLY HAPPY
[4]. VERY HAPPY
tcu forms/pmes/ffs(8/91)