Name: Date:

Age:

Close-ended questions

1. Do you witness your parents argue?

a. Yes b. Often c. Sometimes d. No
2. Do your parents often argue?
a. Yes b. No
3. Does Marital Conflict affect your Psychosocial State as a Student?
a. Yes b. No
4. Do your parents know you’re affected of the situation?
a. Yes b. No
5. Do you still have a quality time with your family?
a. Yes b. Sometimes c. No
6. Do you open up your feelings to other people?
a. Yes b. Sometimes c. No
7. Do your parents still give you proper attention?
a. Yes b. Maybe c. No
8. Do you feel uncomfortable whenever you witness your parents argue?
a. Yes b. Sometimes c. No
9. Does Marital Conflict affect your study habit?
a. Yes b. No
10. Do you still feel safe despite of the Marital Conflict?
a. Yes b. No