The document appears to be a survey asking respondents to rate on a scale how often certain statements apply to their communication with their parents. For each statement, the respondent selects their answer and the other person can then indicate if they think the response was honest or dishonest. The statements cover topics like whether speaking up makes things worse, being afraid of being wrong, not looking forward to talking to parents, parents not listening, not resolving problems, words not matching actions, getting angry or frustrated, parents bringing up other issues or refusing to acknowledge problems. The other person then rates the perceived honesty of each response.

1. Circle all the time, most of the time, so/so, sometimes, or never. The bottom boxes are for the other person to
check if your answer was dishonest.
1 Speaking up will only make things worse. All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
2 I don't talk because I'm afraid I'm wrong. All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
3 I don't look forward to talking to parent(s). All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
4 My parent(s) don't listen. All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
5 My parent(s) don't resolve problems we have. All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
6 My parent(s) actions don't match their words. All the Most of the time So/so Sometimes Never
time
T7his answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
7 I easily get angry when I'm frustrated. All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
8 I get easily frustrated when they don't listen/understand. All the Most of the So/so Sometimes Never
time time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
9 My parent(s) bring up my issues when I bring up theirs. All the Most of the time So/so Sometimes Never
time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest
10 My parent(s) refuse to acknowledge problems. All the Most of the So/so Sometimes Never
time time
This answer was:
Completely Honest Mostly honest In between Mostly dishonest Completely dishonest