A. The first set of questions relate to the reasons for making Aliyah.

Here is a list of various reasons people may decide to make Aliyah. For each reason, please indicate how much this reason applies to why you want to make Aliyah.

1. 1 = SD - STRONGLY DISAGREE THAT THIS IS A REASON WE WANT TO MAKE ALIYAH
2. 2 = D - DISAGREE THAT THIS IS A REASON WE WANT TO MAKE ALIYAH
3. 3 = IB - IN BETWEEN
4. 4 = A - AGREE THAT THIS IS A REASON WE WANT TO MAKE ALIYAH
5. 5 = SA - STRONGLY AGREE THAT THIS IS A REASON WE WANT TO MAKE ALIYAH

B. The next set of questions are about your children.

Think of all your children and select the one that is the most dominant in terms of his/her personality and influence on the family. Now read the three general statements below and select for each statement how much it describes this specific child.

1. 1 = Extremely untrue of this child
2. 2 = Slightly true of this child
3. 3 = Partially true/partially untrue of this child
4. 4 = Quite true of this child
5. 5 = Extremely true of this child

C. The last set of questions are about you and your family.

Most persons have disagreements in their relationships. Please indicate below the approximate extent of agreement or disagreement between you and your spouse for each item on the following list.

1. AD = Always disagree
2. AAD = Almost always disagree
3. FD = Frequently disagree
4. OD = Occasionally disagree
5. AAA = Almost always agree
6. AA = Always agree

How often would you say the following events occur between you and your spouse?

1. 1 = Never
2. 2 = Less than once a month
3. 3 = Once or twice a month
4. 4 = Once or twice a week
5. 5 = Once a day
6. 6 = More often

37. The dots on the following line represent different degrees of happiness in your relationship with your spouse. The middle point, “happy,” represents the degree of happiness of most relationships. Please mark the dot which best describes the degree of happiness, all things considered, of your relationship.

Please read the following statement about your family and answer the questions below. “When our family struggles with problems or conflicts which upset us, I would describe my family in the following way:”

1. F = FALSE
2. MF = MOSTLY FALSE
3. MT = MOSTLY TRUE
4. T = TRUE

The following are a number of statements about your family. Please rate each item as to how often it typically occurs in your home.

1. N = NEVER
2. AN = ALMOST NEVER
3. S = SOMETIMES
4. O = OFTEN
5. A = ALWAYS

Below is a list of some of the ways you may have felt or behaved during the past week. Please indicate how often you felt this way during the past week:

1. < 1D = Rarely or none of the time - less than 1 day
2. 1-2D = Some or a little of the time - 1-2 days
3. 3-4D = Occasionally or a moderate amount of time - 3-4 days
4. 5-7D = All of the time - 5-7 days

Please indicate the extent to which you disagree or agree with the following statements regarding your relationship with other people living in your neighborhood.

1. SD = STRONGLY DISAGREE
2. D = DISAGREE
3. IB = IN BETWEEN
4. A = AGREE
5. SA = STRONGLY AGREE