| (Unimportant) 1 - 2 - 3 - 4 - 5 (Important) | |||
| (Dissatisfied) | (Satisfied) | ||
| Importance | Satisfaction | ||
| a. Your family | _________________ | _________________ | |
| b. Your career | _________________ | _________________ | |
| c. Your marriage | _________________ | _________________ | |
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