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	A Community Reinforcement Approach: Treating Cocaine Addiction

This scale is intended to estimate your current happiness with your relationship in each of the 10 areas listed below. Ask yourself the following question as you rate each area: *How happy am I with my partner* today in this area? Then circle the number that applies. Numbers toward the left indicate some degree of unhappiness; numbers toward the right reflect some degree of happiness. By using the proper number, you can show just how happy you are with that relationship area. Remember:** You are indicating your current happiness, that is, how you feel today. Also, do not let your feelings in one area influence your rating in another area.
	Completely Unhappy	Completely Happy
Houshold Responsibilities	1 2 3 4 5 6 7 8 9 10
Rearing of children	1 2 3 4 5 6 7 8 9 10
Social activities	1 2 3 4 5 6 7 8 9 10
Money	1 2 3 4 5 6 7 8 9 10
Communication	1 2 3 4 5 6 7 8 9 10
Sex and affection	1 2 3 4 5 6 7 8 9 10
Academic (or occupational) progress	1 2 3 4 5 6 7 8 9 10
Personal independence	1 2 3 4 5 6 7 8 9 10
Partner's independence	1 2 3 4 5 6 7 8 9 10
General Happiness	1 2 3 4 5 6 7 8 9 10

Name:
Date:

Source: Azrin et al. 1973, p. 370.

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