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Exit Survey
 
 
Hello!
 
 
 
 
The items on this form concern the kind of friend your friend is to you. Imagine that the blank space in each item contains your friend's name. With him or her in mind, decide how often the item applies. Select how often your friend is or does what the item says. There are no right or wrong answers because adult friendships are very different from one another. Just describe your friend as he or she really is to you. 
 
 
 
_____helps me when I need it. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
____would make me feel comfortable in a new situation.
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
___is someone I can tell private things to. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
____has good ideas about how entertaining things to do.
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
_____would want to stay my friend if we didn't see each other for a few months. 
 
Never
 
Rarely
 
Once in a While
 
Fairly Often
 
Always
 
 
 
Please provide the following information
 
 
 
Please indicate your gender
 
 
 
Please indicate your age (in years):