Instructions for Adult Attachment and Alcohol Use

The purpose of this study is to investigate behaviors in relationships, alcohol use, and motivations to drink alcohol. You will be asked several questions regarding your preferences and behaviors in relationships, alcohol use behaviors, and reasons you consume alcohol. In addition, some demographic information will be collected (e.g., race/ethnicity, age, gender, etc.). The survey is an anonymous survey, and all responses will be kept on a secure computer. The survey takes about 20-25 minutes to complete.

One benefit of your participation in this study is that it will help us understand how relationships affect alcohol consumption and reasons for drinking. Alcohol consumption and reasons for drinking alcohol are both important issues for college-age adults.

Two requirements of this study are that you are at least 18 years of age or older and have consumed alcohol to participate in this survey. If you are not at least 18 years old and/or have never consumed alcohol, please do not participate in this survey.

At any time, you may discontinue the survey by simply closing the browser. At any time, you may discontinue the survey by simply closing the browser. At the end of the survey, please click on the button that says "Finished." Please follow all instructions carefully to ensure accuracy of your participation credit.

Some of the questions in the survey are alcohol-related and you may feel some discomfort in answering them. Any question that you feel uncomfortable answering you may leave blank. There are no "right" or "wrong" answers to any part of this survey, so please answer as truthfully and completely as possible. If you choose to discontinue your participation in the survey, please close the web-browser and your answers will not be recorded or submitted.

As noted earlier, all responses are anonymous and are being stored on a secure computer. Please note that this survey will provide no feedback, nor are you being tested in any way. Results will be made available to participants upon request. Any questions regarding this survey may be addressed to: Joni L. Sivey (jonildegrado@yahoo.com), (909) 217-1380 or Dr. William Marelich, Dept. of Psychology, CSU Fullerton, California (wmarelich@fullerton.edu), (714) 278-7374.

Informed Consent Statement: Completion of this survey indicates that you understand the purpose of this study, its risks, and acknowledge that you may discontinue at any time. Completion of this survey thereby indicates that you have given informed consent to participate.



Let's Get Started!

Directions: Please read the following three paragraphs and select the one that most describes your feelings about your current relationship. Please click the bubble to choose the style most descriptive of your feelings. If you are not currently in a romantic relationship, please use your most recent relationship. If you have never been in a romantic relationship, please imagine how you would feel about your ideal romantic relationship.

Select one:

1. I find it relatively easy to get close to others and am comfortable depending on them and having them depend on me. I don't often worry about being abandoned or about someone getting too close to me.

2. I am somewhat uncomfortable being close to others; I find it difficult to trust them completely, difficult to allow myself to depend on them. I am nervous when anyone gets too close, and often, love partners want me to be more intimate than I feel comfortable being.

3. I find that others are reluctant to get as close as I would like. I often worry that my partner doesn't love me or won't want to stay with me. I want to merge completely with another person, and this desire sometimes scares people away.


Directions: The statements below concern how you feel in your relationship with your romantic partner (i.e., a girlfriend, boyfriend, spouse). If you are not currently in a romantic relationship, please use your most recent relationship. If you have never been in a romantic relationship, please imagine how you would feel about your ideal romantic relationship.

We are interested in how you generally experience relationships, not just in what is happening in a current relationship. Respond to each statement by indicating how much you agree or disagree with the statement. Click on the bubble that best describes your answers.

4. I am afraid I will lose my partner's love.
Disagree Strongly Agree Strongly

5. My partner really understands my needs.
Disagree Strongly Agree Strongly

6. I often worry that my partner will not want to stay with me.
Disagree Strongly Agree Strongly

7. I find it easy to depend on romantic partners.
Disagree Strongly Agree Strongly

8. I worry that romantic partners won't care for me as much as I care for them.
Disagree Strongly Agree Strongly

9. I am nervous when partners get too close to me.
Disagree Strongly Agree Strongly

10. I worry a lot about my relationships.
Disagree Strongly Agree Strongly

11. I tell my partner just about everything.
Disagree Strongly Agree Strongly

12. When I show my feelings for romantic partners, I'm afraid they will not feel the same about me.
Disagree Strongly Agree Strongly

13. I usually discuss my problems and concerns with my partner.
Disagree Strongly Agree Strongly

14. My romantic partner makes me doubt myself.
Disagree Strongly Agree Strongly

15. I find it relatively easy to get close to my partner.
Disagree Strongly Agree Strongly

16. I find that my partner(s) don't want to get as close as I would like.
Disagree Strongly Agree Strongly

17. It's easy for me to be affectionate with my partner.
Disagree Strongly Agree Strongly

18. My desire to be very close sometimes scares people away.
Disagree Strongly Agree Strongly

19. I feel comfortable depending on romantic partners.
Disagree Strongly Agree Strongly

20. It makes me mad that I don't get the affection and support I need from my partner.
Disagree Strongly Agree Strongly

21. I talk things over with my partner.
Disagree Strongly Agree Strongly

22. My partner only seems to notice me when I'm angry.
Disagree Strongly Agree Strongly

23. It helps to turn to my romantic partner in times of need.
Disagree Strongly Agree Strongly

24. I often worry that my partner doesn't really love me.
Disagree Strongly Agree Strongly

25. It's not difficult for me to get close to my partner.
Disagree Strongly Agree Strongly

26. I often wish that my partner's feelings for me were as strong as my feelings for him or her.
Disagree Strongly Agree Strongly

27. I get uncomfortable when a romantic partner wants to be very close.
Disagree Strongly Agree Strongly

28. When a partner is out of sight, I worry that he or she might become interested in someone else.
Disagree Strongly Agree Strongly

29. I don't feel comfortable opening up to romantic partners.
Disagree Strongly Agree Strongly

30. I rarely worry about my partner leaving me.
Disagree Strongly Agree Strongly

31. I find it difficult to allow myself to depend on romantic partners.
Disagree Strongly Agree Strongly

32. I do not often worry about being abandoned.
Disagree Strongly Agree Strongly

33. I prefer to show a partner how I feel deep down.
Disagree Strongly Agree Strongly

34. Sometimes romantic partners change their feelings about me for no apparent reason.
Disagree Strongly Agree Strongly

35. I'm afraid that once a romantic partner gets to know me, he or she won't like who I really am.
Disagree Strongly Agree Strongly

36. I worry that I won't measure up to other people.
Disagree Strongly Agree Strongly


Directions: Here is a list of reasons people sometimes give for drinking alcohol. Thinking of all the times you drink, how often would you say that you drink for the each of the following reasons? Please respond to each statement by the frequency you drink for the reason listed. Click on the bubble that best describes your answers.

37. To forget your worries.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

38. Because your friends pressure you to drink.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

39. Because it helps you enjoy a party.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

40. Because it helps you when you feel depressed or nervous.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

41. To be sociable.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

42. To cheer you up when you are in a bad mood.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

43. Because you like the feeling.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

44. So that others won't kid you about not drinking.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

45. Because it's exciting.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

46. To get high.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

47. Because it makes social gatherings more fun.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

48. To fit in with a group you like.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

49. Because it gives you a pleasant feeling.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

50. Because it improves parties and celebrations.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

51. Because you feel more confident and sure of yourself.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

52. To celebrate special occasions with friends.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

53. To forget about your problems.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

54. Because it's fun.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

55. To be liked.
Almost never/never Some of the time Half of the time Most of the time Almost always/always

56. So you won't feel left out.
Almost never/never Some of the time Half of the time Most of the time Almost always/always


Directions: Click on the bubble that best describes your answer to each question.

57. How often do you have a drink containing alcohol?
Never Monthly or less 2-4 times a month 2-3 times a week 4 or more times a week

58. How many drinks containing alcohol do you have on a typical day when you are drinking?
1 or 2 3 or 4 5 or 6 7 to 9 10 or more

59. How often do you have six or more drinks on one occasion?
Never Less than monthly Monthly Weekly Daily or almost daily

60. How often during the last year have you found that you were not able to stop drinking once you had started?
Never Less than monthly Monthly Weekly Daily or almost daily

61. How often during the last year have you failed to do what was normally expected of you because of drinking?
Never Less than monthly Monthly Weekly Daily or almost daily

62. How often during the last year have you needed a drink in the morning to get yourself going after a heavy drinking session?
Never Less than monthly Monthly Weekly Daily or almost daily

63. How often during the last year have you had a feeling of guilt or remorse after drinking?
Never Less than monthly Monthly Weekly Daily or almost daily

64. How often during the last year have you been unable to remember what happened the night before because of your drinking?
Never Less than monthly Monthly Weekly Daily or almost daily

65. Have you or someone else been injured because of your drinking?
No Yes, but not in the past year Yes, during the past year

66. Has a relative or friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?
No Yes, but not in the past year Yes, during the past year


Directions: Click yes or no to best describe your answer to each question.

67. Have you ever ridden in a car driven by someone (including yourself) who was "high" or had been using alcohol or drugs?
Yes No

68. Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?
Yes No

69. Do you ever use alcohol/drugs while you are by yourself?
Yes No

70. Do your family or friends ever tell you that you should cut down on your drinking or drug use?
Yes No

71. Do you forget about things you did while using alcohol or drugs?
Yes No

72. Have you gotten into trouble while you were using alcohol or drugs?
Yes No


Directions: Below is a list of statements dealing with your general feelings about yourself. If you strongly agree, click Strongly Agree. If you agree with the statement, click Agree. If you disagree, click Disagree. If you strongly disagree, click Strongly Disagree.

73. On the whole, I am satisfied with myself.
Strongly Agree Agree Disagree Strongly Disagree

74. At times, I think I am no good at all.
Strongly Agree Agree Disagree Strongly Disagree

75. I feel that I have a number of good qualities.
Strongly Agree Agree Disagree Strongly Disagree

76. I am unable to do things as well as most people.
Strongly Agree Agree Disagree Strongly Disagree

77. I feel I do not have much to be proud of.
Strongly Agree Agree Disagree Strongly Disagree

78. I certainly feel useless at times.
Strongly Agree Agree Disagree Strongly Disagree

79. I feel that I am a person of worth, at least on an equal basis with others.
Strongly Agree Agree Disagree Strongly Disagree

80. I wish I could have more respect for myself.
Strongly Agree Agree Disagree Strongly Disagree

81. All in all, I am inclined to feel that I am a failure.
Strongly Agree Agree Disagree Strongly Disagree

82. I take a positive attitude toward myself.
Strongly Agree Agree Disagree Strongly Disagree


Directions: We would like to obtain some background information that we feel is relevant to the research material. Please read the following questions and select one response for each question.

83. How old are you?


84. What is your gender?

Male Female

85. What is you ethnicity?

White/European Black/African American Hispanic/Latino or Latina Asian American Native American Other

86. How would you describe your relationship status?

Single Casually Dating Seriously Dating Engaged Married Divorced

Please check your answers. When you are done, push the button below.

Thank You!