Sie sind auf Seite 1von 9

I.

SACH’S SENTENCE COMPLETION TEST

Date:
Name:
Age:
Sex:

Direction: The following are sixty partly completed sentences. Read each one and finish it by
writing the first thing that comes to your mind. Work as quickly as you can. If you cannot complete
an item, encircle the number and return to it later.

1. I feel that my father seldom -


2. When the odds are against me -
3. I always wanted to -
4. If I were in charge -
5. To me the future looks -
6. The men over me -
7. I know it is silly but I am afraid of -
8. I feel that a real friend -
9. When I was a child –
10. My idea of a perfect woman –
11. My idea of a perfect man-
12. When I see a man and woman together –
13. Compared with most families mine -
14. At work, I get along best with -
15. My mother -
16. I would do anything to forget the time I -
17. If my father would only -
18. I believe that I have the ability -
19. I could be perfectly happy if -
20. If people work for me -
21. I look forward to -
22. In school, my teachers –
23. Most of my friends don’t know that I am afraid of -
24. Before the war, I -
25. I think most girls -
26. My feelings about married life is –
27. My family treats me like -
28. Those I worked with are -
29. My mother and I -
30. My greatest mistake was -
31. I wish my father -
32. My greatest weakness is -
33. My secret ambition in life –
34. The people who work for me -
35. Someday -
36. When I see the boss coming -
37. I wish I could lose the fear of -
38. The people I like best are –
39. If I were young again -
40. I believe that most women -.
41. If I had sex relation –
42. Most families I know - .
43. I like working with people who -.
44. I think that most mothers -
45. When I was younger, I felt guilty about -.
46. I feel that my father -.
47. When luck turns against me -.
48. In giving orders, I -.
49. What I want most in life -.
50. When I am older -.
51. People whom I consider superiors -.
52. My fears sometimes force me to -.
53. When I am not around my friends -.
54. My most vivid childhood memory -.
55. What I like least about women -.
56. My sex life -
57. When I was a child, my family -.
58. People who work with me usually -.
59. I like my mother but -.
60. The worst thing I ever did was -

II. BASIC INFORMATION

Full Name of Petitioner:


Address:
Age:
Birthday:
Highest Educational Attainment/ Degree:
School Attended/Year:
Present Employment:
Religion:
Date of Marriage:
Place of Marriage:
Number of child/children

Children/ birthdate
Family Background
Father:
Age:
Occupation:
Negative Attitudes:
Positive Attitudes:

Mother:
Age:
Occupation:
Negative Attitudes:
Positive Attitudes:

Siblings:

Name Age Status Occupation Educational Attitudes of


Attainment Each

Full Name of Respondent:


Address:
Age:
Birthday:
Highest Educational Attainment/Degree:
School Attended/Year:
Present Employment: -
Religion: -
Number of child/children

Children/ birthdate
III. FAMILY BACKGROUND

Father:
Age:
Occupation:
Negative Attitudes:
Positive Attitudes:

Mother:
Age:
Occupation:
Negative Attitudes:
Positive Attitudes:

Siblings:

Name Age Status Occupation Educational Attitudes of


Attainment Each

A. Describe your family.

B. Describe yourself as a daughter/son. Describe yourself as a brother.

C. What are your vivid childhood memories?

D. Tell something about your biggest achievement and biggest frustrations.


i. Achievement -
ii. How do you reward yourself?
iii. Frustrations: -
iv. How did you cope? -
E. Family history of Medical/emotional disorders:
Disorder/disease common to your family members?

Medical –
Father has
Mother has

F. Pertinent Medical History


Did you have any illness?
Medical consultation? .
Surgical operation? .
Are you taking any drug/medicine/ Enumerate.

IV. .EDUCATIONAL HISTORY:

Schools attended: Year: Awards/Degrees/Cert


ification

Pre-School

Elementary

High School

Vocational School

College

Post Graduate

Extracurricular Activities –

Describe yourself as a student


V. EMPLOYMENT HISTORY

Where When / Monthly Position Reason for


Salary resignation/changing
jobs

OTHERS
1. Describe yourself as an employee. How do your superiors/subordinates, perceive you?

2. How do you see yourself 10 years from now?

3. If you can change our world yourself at this point what changes would you have done?
Why?

4. How do you think others appraise or estimate you?


5. What are your interest/skills/talents? What do you do to develop them?

VI. SOCIAL, SEXUAL AND MARITAL HISTORY

A. Discuss your circle of friends when you were in your childhood, adolescent years and
adulthood.
a. Where did/do you spend your time together?
Childhood -
Adolescent -
Adulthood –

b. What were/are your usual activities?


Childhood -
Adolescent -
Adulthood –
B. What are the sorts of problems and conflicts you have usually encountered?

i. How do you cope with frustrations and problems?


ii. Did you have any other intimate relationships before your marriage?
Discuss them. What are the causes for the breakup? How did you recover
from the breakup?

C. Describe the circumstances surrounding your initial meeting with your husband/wife.

i. Describe your courtship period

ii. What positive and negative traits of your husband/wife have you observed
during this period?

D. Describe the circumstances and preparations that led your marriage?

i. Discuss the ceremony, its impact on your family and members/in-laws?

E. Describe the first few months of your marriage

F. When did you first notice changes in your husband’s behavior? Expound.

G. What was your worst marital experience? What did you do? How did you cope?

i. Is there anything good/happy/memorable about marriage?

H. What did you do to save your marriage? (Same in first few pages)

1. Did your spouse initiate moves to reconcile with you?

I. Is there any probability for reconciliation? Why?

J. Compare your traits with your husband’s / wife’s / traits.

Your Good Traits Your Bad Traits


Your Spouse’s Good Traits Your Spouse’s Bad Traits

Don’t forget to discuss in detail the circumstances which explain your spouse’s traits. Use the
back pages or additional pages to elaborate the abovementioned personality traits.

Spouse - Good Traits

Spouse - Bad Traits

M. What is your general estimate of yourself?


1. Describe yourself as a mother/father. -
2. Describe yourself as a wife/husband. –

N. What do you think will be the benefits of having your marriage annulled?

O. Is your spouse attending the court hearing? What is his/her attitude/reaction?

P. How about your in-laws and children? How are they taking your desire for annulment?
Q. Do you have a suitor/lover/partner at this point? Are you planning to get married after the
annulment? Mention the names and ages of your children outside the marriage.

R. What lessons have you learned from your marriage?

S. Tell everything you know about your spouse’s background.

T. Tell everything you know about his educational and work history.

U. Tell everything you know about your spouse’s past and present love affairs. Names and ages
of his/her children with another man/woman.

V. Describe your spouse as a son/daughter to his/her parents and as a brother/sister to his/her


siblings.

W. Where can I get in touch with your husband/wife? Do you think he/she will be amenable for
an interview?

X. Is there a possibility for an interview with your children regarding their observations of the
marital state and their experience with you as parents?

Y. Do you have other information to add which you think is important to your decision to annul
your marriage? You may use the backpage.

Z. Do you think you need psychological help because of the marital failure? Do you think your
children need counselling as a result of the marital breakdown? Why?

I am certifying that all the information I gave are true.

Signature over printed name.

Das könnte Ihnen auch gefallen